Individual
SPENCER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6399
(317) 338-6359
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6399
(317) 338-6359
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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