Organization
ROBERT K MOORE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K MOORE MD (PRESIDENT)
(586) 436-5373
Entity
Organization
Contact information
Practice address
28341 HOOVER RD, WARREN, MI 48093-4151
(586) 751-8890
(586) 751-1103
Mailing address
28341 HOOVER RD, WARREN, MI 48093-4151
(586) 751-8890
(586) 751-1103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301029450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666313
—
MI
Enumeration date
08/23/2010
Last updated
08/23/2010
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