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Stacy Moore
NPI 1386685121 · on the registry since 2006
Practice
- Address
- 4369 Miller Rd
Flint, MI 48507 - Phone
- (810) 733-1385
- Fax
- (810) 733-7893
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Also registered as
- 237600000X
237600000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-14
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 Michigan