NPI 1487743696

Brian Franklin Moore, CPO

Practitioner Prosthetist Slidell, LA

Practice location

Address: 172 Commercial Sq, Slidell, LA 70461-5418
Phone: (985) 649-2010
Fax: (985) 847-9205
Mailing address: 172 Commercial Square, Slidell, LA 70461-5418

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1487743696
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2006
Record last updated: 9 Jul 2007

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.