Organization
THOMAS J MOORE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J MOORE M.D. (OWNER)
(606) 215-1793
Entity
Organization
Contact information
Practice address
190 KEENELAND TRL, CORBIN, KY 40701-8544
(606) 215-1793
Mailing address
190 KEENELAND TRL, CORBIN, KY 40701-8544
(606) 215-1793
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22596
KY
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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