STEPHEN G MOORE

BLOOMINGTON, IN
NPI1073815882
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IN  01044533A)
Enumeration Date2010-11-30
Last Update Date2010-11-30
Business Address
Dr. STEPHEN G MOORE M.D.
2749 E COVENANTER DR
BLOOMINGTON, IN 47401-5454
Phone number: 812-332-2265
Mailing Address
Dr. STEPHEN G MOORE M.D.
2749 E COVENANTER DR
BLOOMINGTON, IN 47401-5454
Phone number: 812-332-2265