BRIAN G MOORE

LA PORTE, IN
NPI1205942075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01040502A)
Enumeration Date2006-08-22
Last Update Date2024-01-31
Business Address
BRIAN G MOORE MD
900 I ST FL 2
LA PORTE, IN 46350-5533
Phone number: 219-575-6060
Mailing Address
BRIAN G MOORE MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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