Individual
DR. THOMAS O'NEAL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
377 MDG, 2050A SECOND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-1186
Mailing address
377 MDG, 2050A SECOND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-1186
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
01058273A
IN
Other
Enumeration date
09/29/2005
Last updated
09/03/2009
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