Whalio Doctors

NPI 1205157641

Royce David Moore, MD

Practitioner Sports Medicine (Family Medicine) Physician Ozark, MO

Practice location

Address
3050 E River Bluff Blvd, Ozark, MO 65721-8807
Phone
(417) 820-7969

Registered specialties (3)

Sports Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 2014014739 (MO)
Sports Medicine (Orthopaedic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 2014014739 (MO)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence TP188 (KY)

Registry record

NPI
1205157641
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2010
Record last updated
16 Jul 2020

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.