Individual
DR. TANNER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506-1200
(304) 293-1258
(304) 293-4824
Mailing address
PO BOX 9238 ONE MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 293-1258
(304) 293-4824
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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