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Individual
DR. MICHAEL ROY MOORE
Active
Individual
DR. MICHAEL ROY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD61324152
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
33095
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD61324152
WA
225400000X
Rehabilitation Practitioner
G85748
CA
Other
Enumeration date
05/25/2005
Last updated
05/27/2025
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