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Individual

KENT MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Mailing address
832 WILLOW ST, RENO, NV 89502-1304

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2710
NV

Other

Enumeration date
03/21/2006
Last updated
09/04/2007
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