Individual
BRIAN S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2135 ARMORY DR, SUITE 100, SANTA ROSA, CA 95401-3610
(707) 575-1700
(707) 575-1755
Mailing address
2135 ARMORY DR, SUITE 100, SANTA ROSA, CA 95401-3610
(707) 575-1700
(707) 575-1755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OC21860
CA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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