Search › Indiana › 174400000X
Stephen Moore, M.D
NPI 1073815882 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2749 E Covenanter Dr
Bloomington, IN 47401 - Phone
- (812) 332-2265
- Fax
- (812) 334-0853
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana