Individual
DR. MARC AARON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
484 GOLDEN AUTUMN WAY STE 201, BOWLING GREEN, KY 42103-6914
(270) 780-2494
(270) 780-0465
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42630
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100080340
—
KY
Enumeration date
01/04/2007
Last updated
11/10/2021
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