Individual
DR. GARY FLOYD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930
Mailing address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
15448
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42154126400
—
NE
Enumeration date
11/07/2005
Last updated
11/27/2007
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