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Individual

DR. SCOTT ERIC MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4633
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101245340
VA
2085R0202X
Diagnostic Radiology Physician
35-095539
OH
2085R0202X
Diagnostic Radiology Physician
Primary
43859
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3054724
OH
05
3810020479
WV
05
7100119800
KY
Enumeration date
01/22/2007
Last updated
10/28/2022
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