Individual
STEVEN A MOORE
Active
Individual
STEVEN A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
23889
IA
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
23889
IA
207ZP0101X
Anatomic Pathology Physician
23889
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242024
—
IA
05
—
1242024
—
IA
01
—
24202
WELLMARK BCBS
IA
01
—
33946
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
12/13/2007
Update your record
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