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Individual
DR. MICHAEL WILLIAM SHAW MOORE III
Active
Individual
DR. MICHAEL WILLIAM SHAW MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
LL33725
SC
207Y00000X
Otolaryngology Physician
Primary
Q6968
TX
Other
Enumeration date
06/18/2011
Last updated
08/09/2021
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