Individual
DR. RYAN DAKOTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1633 W MAIN ST, BUILDING 401, LEBANON, TN 37087-3423
(615) 444-2234
Mailing address
1633 W MAIN ST, BUILDING 401, LEBANON, TN 37087-3423
(615) 444-2234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3002
TN
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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