Individual
DEREK W MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2324 BATH ST, SANTA BARBARA, CA 93105-4330
(805) 682-7801
(805) 687-5342
Mailing address
2324 BATH ST, SANTA BARBARA, CA 93105-4330
(805) 682-7801
(805) 687-5342
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
238120
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
237490
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
238120
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A87788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164035
—
MA
Enumeration date
05/27/2008
Last updated
01/15/2018
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