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Individual

MR. BRIAN FRANKLIN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
172 COMMERCIAL SQ, SLIDELL, LA 70461-5418
(985) 649-2010
(985) 847-9205
Mailing address
172 COMMERCIAL SQUARE, SLIDELL, LA 70461-5418
(985) 649-2010
(985) 847-9205

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1199311
LA
Enumeration date
10/12/2006
Last updated
07/09/2007
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