Whalio Doctors

NPI 1376530964

Thomas O'Neal Moore, MD

Practitioner Public Health & General Preventive Medicine Physician Kirtland Afb, NM

Practice location

Address
377 Mdg 2050a Second St SE, Kirtland Afb, NM 87117-5522
Phone
(505) 846-1186

Registered specialties

Public Health & General Preventive Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 01058273A (IN)

Registry record

NPI
1376530964
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Sep 2005
Record last updated
3 Sep 2009

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.