Search › Wyoming › 175T00000X
Mark Moore
NPI 1710527130 · on the registry since 2020
Practice
- Address
- 1221 W 5th St
Sheridan, WY 82801 - Phone
- (307) 674-4405
- Organisation at this address
- Volunteers Of America Northern Rockies
Volunteers Of America Northern Rockies
Volunteers Of America Northern RockiesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 1221 W 5th St, Sheridan, WY
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-14
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 Wyoming