NPI 1063443265

Douglas J Moore, CSFA

Practitioner Surgical Assistant Indianapolis, IN

Practice location

Address: 8450 Northwest Blvd, Indianapolis, IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Indiana →

Registry record

NPI: 1063443265
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 5 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.