Stanley Joseph Moore, MD Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Mount Vernon, WA

NPI

1134700941

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

License number

ML61170278 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2021-04-14

Last updated

2024-07-17