Individual
MR. BRIAN KEITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4653 CLAIRTON BLVD, PITTSBURGH, PA 15236-2149
(412) 885-7515
(412) 885-6652
Mailing address
1552 CATHELL RD, PITTSBURGH, PA 15236-1110
(412) 668-0481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000803A
PA
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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