NPI 1710527130

Mark Moore

Practitioner Peer Specialist Sheridan, WY

Practice location

Address: 1221 W 5th St, Sheridan, WY 82801-2701
Phone: (307) 674-4405

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CPS-014 (WY)

Other Peer Specialist providers in Wyoming →

Registry record

NPI: 1710527130
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2020
Record last updated: 14 Feb 2023

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.