SearchWashington207PE0004X

Michael Moore, DO

NPI 1538110911 · on the registry since 2006

Practice

Address
9040 Fitzsimmons Dr
Joint Base Lewis Mcchord, WA 98431
Phone
(253) 968-1340
Clinicians at this address
67

Registry record

Primary taxonomy
207PE0004X
207PE0004X
Also registered as
208D00000X
207Q00000X
Licence states on file
NE, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-07

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 Washington