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Individual
STEVEN ANTHONY MOORE
Active
Individual
STEVEN ANTHONY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-01862
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172848
RESIDENT LICENSE NUMBER
NC
Enumeration date
04/29/2011
Last updated
03/07/2023
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