NPI 1174678122

Roy a Moore, DC

Practitioner Radiology Chiropractor Windham, ME

Practice location

Address: 936 Roosevelt Trl, Windham, ME 04062-5652
Phone: (207) 892-8356
Fax: (207) 892-1644

Registered specialties

Radiology Chiropractor Primary

Chiropractic Providers Taxonomy 111NR0200X Licence CR577 (ME)

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Registry record

NPI: 1174678122
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 30 Jul 2008

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.