Individual
DR. MATTHEW BRIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10116 W 105TH ST, OVERLAND PARK, KS 66212-5746
(913) 541-0510
(913) 541-1852
Mailing address
10116 W 105TH ST, OVERLAND PARK, KS 66212-5746
(913) 541-0510
(913) 541-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-44383
KS
207R00000X
Internal Medicine Physician
2022008454
MO
Other
Enumeration date
05/16/2017
Last updated
07/25/2023
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