Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9669 E 146TH ST STE 300, NOBLESVILLE, IN 46060-5006
(317) 621-9000
Mailing address
8101 CLEARVISTA PKWY, STE 185, INDIANAPOLIS, IN 46256-4696
(317) 621-9000
(317) 621-9194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01058828A
IN
208000000X
Pediatrics Physician
Primary
01058828A
IN
Other
Enumeration date
06/06/2006
Last updated
04/19/2018
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