Individual
MR. SAMUEL L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2072 IDAHO ST, ELKO, NV 89801-2627
(775) 777-1276
Mailing address
250 COUNTRY CLUB PKWY, SPRING CREEK, NV 89815-5830
(775) 777-1276
(775) 777-7022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3139
NV
Other
Enumeration date
06/08/2015
Last updated
10/07/2024
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