Individual
TYLER B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORTHOPAEDIC DEPARTMENT, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
1800 HARRISON ST, 7TH FL, OAKLAND, CA 94612-3429
(510) 625-2856
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10785573-1205
UT
207X00000X
Orthopaedic Surgery Physician
Primary
A126302
CA
Other
Enumeration date
06/22/2012
Last updated
02/11/2022
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