NPI 1134700941

Stanley Joseph Moore, MD

Practitioner Student in an Organized Health Care Education/Training Program Mount Vernon, WA

Practice location

Address: 819 S 13th St, Mount Vernon, WA 98274-4112
Phone: (360) 814-6230
Fax: (360) 814-6240
Mailing address: 14716 NE 40th St APT S1006, Bellevue, WA 98007-3333

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence ML61170278 (WA)

Other Student in an Organized Health Care Education/Training Program providers in Washington →

Registry record

NPI: 1134700941
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2021
Record last updated: 17 Jul 2024

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.