Individual
DR. STEPHEN HENRY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 VERNON CIR, HOPKINS, MN 55305-3053
(612) 760-1264
Mailing address
2300 VERNON CIR, HOPKINS, MN 55305-3053
(612) 760-1264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
120886
NY
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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