Stephen G. Moore, M.D.

Specialist · Bloomington, IN

Individual Active NPI

NPI number 1073815882

Practice location

2749 E Covenanter Dr
Bloomington, IN 47401-5454
Phone
(812) 332-2265
Fax
(812) 334-0853

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NPI record

NPI
1073815882
Entity type
Individual (Type 1)
Enumeration date
November 30, 2010
Last updated
November 30, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 01044533A IN

About Dr. Moore

Stephen G. Moore, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2749 E Covenanter Dr, Bloomington, IN 47401-5454. The NPI number 1073815882 was assigned on November 30, 2010 and the record was last updated on November 30, 2010.

Dr. Moore lists a license in the registry: #01044533A (IN) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen G. Moore, M.D.?

The NPI number is 1073815882.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (812) 332-2265.

Where is Dr. Moore located?

2749 E Covenanter Dr, Bloomington, IN 47401-5454.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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