Individual
GREGORY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.R.S.S
Contact information
Practice address
1824 MURDOCH AVE BLDG C, PARKERSBURG, WV 26101-3230
(304) 916-1881
(304) 916-1883
Mailing address
1824 MURDOCH AVE BLDG C, PARKERSBURG, WV 26101-3230
(304) 916-1881
(304) 916-1883
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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