Individual
JOHN RICHARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
809 WHEELER ST STE 2, AMES, IA 50010-4367
(515) 233-1709
(515) 232-1917
Mailing address
809 WHEELER ST STE 2, AMES, IA 50010-4367
(515) 233-1709
(515) 232-1917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5288
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087973
—
IA
01
—
1144210212
INDIVIDUAL NPI
IA
01
—
1346383619
GROUP NPI
IA
01
—
42678
BCBS
IA
05
—
IA 17029
—
IA
Enumeration date
10/28/2005
Last updated
04/06/2010
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