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Individual

DR. REILIN JAMES MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
545 BARNHILL DR, EMERSON HALL 202, INDIANAPOLIS, IN 46202-5112
(317) 274-4966
(317) 274-8769
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01088345A
IN
390200000X
Student in an Organized Health Care Education/Training Program
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11018933A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/13/2016
Last updated
08/15/2022
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