Individual
DEREK PAUL MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 MEDICAL PKWY, CARSON CITY, NV 89703-4635
(775) 885-2229
(775) 882-5045
Mailing address
1946 OLD HOT SPRINGS RD, CARSON CITY, NV 89706-0674
(775) 882-1324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10066858
TX
Other
Enumeration date
04/16/2019
Last updated
05/23/2024
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