Organization
MB MOORE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MB MOORE (PHYSICIAN OWNER)
(573) 785-4731
Entity
Organization
Contact information
Practice address
223 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 785-4731
Mailing address
PO BOX 3907, POPLAR BLUFF, MO 63902-3907
(573) 785-4601
(573) 686-0178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
627234909
MEDICAID DME
MO
Enumeration date
06/26/2008
Last updated
06/26/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up