Organization
ST. VINCENT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANI MOORE ATC (CERTIFIED ATHLETIC TRAINER)
(317) 281-5539
Entity
Organization
Contact information
Practice address
3525 W 126TH ST, CARMEL, IN 46032-9557
(317) 733-6420
Mailing address
5228 THRASHER DR, INDIANAPOLIS, IN 46254-3563
(317) 281-5539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001755A
IN
Other
Enumeration date
12/30/2011
Last updated
01/15/2013
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