Individual
MICHAEL J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 N 51ST ST, OMAHA, NE 68132-2867
(402) 449-5959
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19541
NE
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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