Individual
DR. FORREST O MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36453
AZ
208600000X
Surgery Physician
M0188
TX
2086S0102X
Surgical Critical Care Physician
311893
LA
2086S0102X
Surgical Critical Care Physician
36453
AZ
2086S0102X
Surgical Critical Care Physician
M0188
TX
2086S0127X
Trauma Surgery Physician
Primary
311893
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191785
—
AZ
Enumeration date
07/14/2006
Last updated
05/07/2026
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