Individual
DEREK MOORE
Active
Individual
DEREK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
36541
TN
208600000X
Surgery Physician
36541
TN
208600000X
Surgery Physician
MD428381
PA
Other
Enumeration date
01/23/2007
Last updated
12/15/2020
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