MICHAEL D MOORE

BUCKHANNON, WV
NPI1679601199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WV  2255A2300X)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
MR. MICHAEL D MOORE ATC, CSCS
50 B U DR
BUCKHANNON, WV 26201-9411
Phone number: 304-472-2271
Mailing Address
MR. MICHAEL D MOORE ATC, CSCS
RR 4 BOX 69
PHILIPPI, WV 26416
Phone number: 304-457-5817
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