SearchNew Mexico183500000X

Patrick Moore

NPI 1811168610 · on the registry since 2008 · sole proprietor

Practice

Address
220 E Crestwood Ct
Gallup, NM 87301
Phone
(910) 890-1955

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-03-19

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 New Mexico