Individual
DR. FLETCHER BRADY MOORE
Active
Individual
DR. FLETCHER BRADY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-157557
IL
2085R0202X
Diagnostic Radiology Physician
27931
WV
2085R0202X
Diagnostic Radiology Physician
D88788
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD61681839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086220957
—
DC
05
—
184182300
—
MD
05
—
2334210
—
WA
Enumeration date
04/30/2015
Last updated
07/11/2025
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