Individual
DR. SEAN MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1017 BROADWAY ST, NEW ORLEANS, LA 70118-5240
(650) 796-1926
Mailing address
1017 BROADWAY ST, NEW ORLEANS, LA 70118-5240
(650) 796-1926
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
C174001
CA
2084P0800X
Psychiatry Physician
C174001
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
C174001
CA
Other
Enumeration date
03/30/2010
Last updated
07/05/2024
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