Individual
NOEL T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CAYLOR NICKEL SQ, BLUFFTON, IN 46714-2529
(260) 824-3500
(260) 919-3419
Mailing address
1 CAYLOR NICKEL SQ, BLUFFTON, IN 46714-2529
(260) 824-3500
(260) 919-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029517A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100331210
—
IN
Enumeration date
06/15/2006
Last updated
09/26/2013
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