Individual
DR. NICHOLAS SIMON ALEXANDER MOORE
Active
Individual
DR. NICHOLAS SIMON ALEXANDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MED-PHYS-LIC-166632
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
14209922-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
MED-RES-LIC-113361
MT
Other
Enumeration date
07/18/2022
Last updated
07/02/2026
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