Individual
DR. STEVEN JOHN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
220 W BROADWAY AVE, SAINT PETER, MN 56082-2036
(507) 934-4850
Mailing address
210 W BROADWAY AVE, SAINT PETER, MN 56082-2036
(507) 934-4385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69D71MO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/14/2006
Last updated
07/08/2007
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