Individual
BRIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8504 OSUNA RD NE, ALBUQUERQUE, NM 87111-2148
(505) 292-9112
Mailing address
8504 OSUNA RD NE, ALBUQUERQUE, NM 87111-2148
(505) 292-9112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
85-249
NM
Other
Enumeration date
08/02/2006
Last updated
03/05/2013
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