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Michael Moore

NPI 1750747564 · on the registry since 2016 · sole proprietor

Practice

Address
220 Pebble Creek Rd
Powell, WY 82435
Phone
(307) 254-3560

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Male
Record last updated
2016-01-08

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 Wyoming