Individual
MICAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 E 3RD ST, CARTHAGE, MO 64836-1620
(417) 262-3757
Mailing address
149 E 3RD ST, CARTHAGE, MO 64836-1620
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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