Search › Michigan › 103T00000X
Damon Moore
NPI 1144829037 · on the registry since 2020 · sole proprietor
Practice
- Address
- 15450 E Jefferson Ave Ste 180
Grosse Pointe Park, MI 48230 - Phone
- (313) 444-4393
- Organisation at this address
- Rebecca Mair P C
Erin Beato Ma Llp Pc
Kathleen S Gunther Pc
Community Social Services Of Wayne CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TS0200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-21
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 Michigan