Individual
THOMAS G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 MENAUL BLVD NE, SUITE 26, ALBUQUERQUE, NM 87107-1852
(505) 889-9700
Mailing address
2510 E SUNSET RD, UNIT 5-260, LAS VEGAS, NV 89120-3511
(702) 798-0113
(866) 291-5242
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
Primary
4981
NM
237700000X
Hearing Instrument Specialist
4981
NM
Other
Enumeration date
09/09/2011
Last updated
11/26/2014
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