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Individual
DR. ROYCE DAVID MOORE
Active
Individual
DR. ROYCE DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TP188
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2014014739
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2014014739
MO
Other
Enumeration date
06/21/2010
Last updated
07/16/2020
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