NPI 1124522834
Jordan Alexander Moore
Practice location
- Address
- 4032 Knollbrook Dr NW, Huntsville, AL 35810-1832
- Phone
- (256) 694-5688
- Mailing address
- 4032 Knollbrook Dr NW, Huntsvile, AL 35810-1832
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1124522834
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Mar 2018
- Record last updated
- 19 Mar 2018
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.