Individual
DR. CASEY PAUL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6550 YORK AVE S, SUITE 515, EDINA, MN 55435-2347
(952) 926-7515
(952) 926-8155
Mailing address
9851 HARRISON RD, APT 307, BLOOMINGTON, MN 55437-2176
(712) 259-1139
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5178
MN
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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