Search › Pennsylvania › 101YM0800X
Derrick Moore
NPI 1114399128 · on the registry since 2015 · sole proprietor
Practice
- Address
- 631 N 10th St
Philadelphia, PA 19123 - Phone
- (267) 223-9010
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2015-10-29
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 Pennsylvania