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Individual
DAVID K MOORE
Active
Individual
DAVID K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02003501A
IN
207R00000X
Internal Medicine Physician
2007022729
MO
208M00000X
Hospitalist Physician
Primary
02003501A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000612728
ANTHEM
IN
05
—
200938600
—
IN
01
—
P00730628
MEDICARE RR
IN
Enumeration date
06/09/2006
Last updated
03/03/2026
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