Individual
DR. THOMAS SAUNDERS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00017267
AL
2085R0202X
Diagnostic Radiology Physician
ME41703
FL
2085R0204X
Vascular & Interventional Radiology Physician
00017267
AL
2085R0204X
Vascular & Interventional Radiology Physician
ME41703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045268
—
AL
05
—
000045269
—
AL
05
—
000045271
—
AL
01
—
000058867
IDTF
AL
05
—
000085892
—
AL
05
—
009931135
—
AL
05
—
009931145
—
AL
05
—
009945535
—
AL
05
—
009945545
—
AL
05
—
009945555
—
AL
05
—
009951055
—
AL
01
—
051504364
IDTF
AL
05
—
107076
—
AL
05
—
107078
—
AL
05
—
108078
—
AL
05
—
108201
—
AL
05
—
270023900
—
FL
Enumeration date
08/31/2005
Last updated
11/02/2011
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