Individual
DR. DOUGLAS K. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13420 N MERIDIAN ST, SUITE 400, CARMEL, IN 46032-1581
(317) 573-7050
(317) 573-7098
Mailing address
12931 BRIGHTON AVENUE, CARMEL, IN 46032
(317) 574-0104
(317) 573-7098
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01026319A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381620
—
IN
Enumeration date
10/28/2005
Last updated
01/09/2020
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