Individual
DR. MICHAEL KEVIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
5590 KIETZKE LN, RENO, NV 89511
(775) 323-2080
(775) 323-8216
Mailing address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 323-8216
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD60815224
WA
Other
Enumeration date
04/11/2011
Last updated
10/24/2019
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