Brian Moore, MD

NPI 1548248552 · on the registry since 2006

Practice

Address: 307 Boatner Rd
Suite 114
Eglin Afb, FL 32542
Phone: (850) 883-8264
Fax: (850) 883-8253
Organisation at this address: 96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 503

Registry record

Primary taxonomy: 207YX0007X
207YX0007X
Also registered as: 207Y00000X
Licence states on file: TX, LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-03

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 Florida