Individual
BRIAN CHADWICK MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 BLUE SLIDE RD, THOMPSON FALLS, MT 59873-9470
(805) 458-2326
Mailing address
1227 BLUE SLIDE RD, THOMPSON FALLS, MT 59873-9470
(805) 458-2326
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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