SearchDistrict of Columbia101YP2500X

Michael Moore

NPI 1225659519 · on the registry since 2020 · sole proprietor

Practice

Address
920 Belview St. Se
Washington, DC 20032
Phone
(202) 562-4939

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-28

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 District of Columbia