Individual
DR. MARK TYLER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(423) 360-3883
Mailing address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(423) 360-3883
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3334
CA
231H00000X
Audiologist
9806481-4101
UT
Other
Enumeration date
05/27/2016
Last updated
02/11/2022
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