Individual
MR. BRADLEY J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 HEARTLAND ROAD, PLAZA 2 SUITE 1800, ST. JOSEPH, MO 64506
(816) 232-8877
(816) 232-0307
Mailing address
901 HEARTLAND ROAD, PLAZA 2 SUITE 1800, ST. JOSEPH, MO 64506
(816) 232-8877
(816) 232-0307
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2014009227
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009015677
STATE TEMPORARY LICENCE
MO
Enumeration date
06/23/2009
Last updated
05/28/2025
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