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Glen Moore
NPI 1801235668 · on the registry since 2013
Practice
- Address
- 2625 S Durango Dr
Apt 201
Las Vegas, NV 89117 - Phone
- (313) 244-5112
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Sex
- Male
- Record last updated
- 2013-06-14
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 Nevada