Dr. Roy A Moore, D.C
Chiropractor, Radiology in Windham, ME. Individual provider (NPI-1).
NPI number1174678122
StatusActive
Last updated in NPPESJul 30, 2008
Details
- NPI
- 1174678122
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roy A Moore
- Credential
- D.C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2007
- Last updated
- Jul 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0200X | Chiropractor, Radiology | CR577 | ME | Yes |
Practice location
936 Roosevelt TrlWindham, ME 04062-5652
Phone 207-892-8356 · Fax 207-892-1644
Mailing address
936 Roosevelt TrlWindham, ME 04062-5652
Phone 207-892-8356 · Fax 207-892-1644
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