Roger T Moore is a Dermatology in Elkhart, Indiana. Roger T Moore practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Roger T Moore is 1366408080. The last update date is 2007-07-08.
Roger T Moore's current location address is 111 N Nappanee Street, Elkhart, Indiana. You can contact this provider via phone number 5745220265 and fax number 5742932855. The mailing address for Roger T Moore is 111 N Nappanee Street, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger T Moore |
|---|---|
| Address | 111 N Nappanee Street, Elkhart, Indiana |
| Phone Number | 5745220265 |
| Fax Number | 5742932855 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366408080 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 N Nappanee Street |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 46514 |
| Phone Number | 5745220265 |
| Fax Number | 5742932855 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 01058554A |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roger T Moore by the Centers for Medicare & Medicaid Services?
The Roger T Moore has been issued the NPI (National Provider Identifier) 1366408080 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Roger T Moore?
The Roger T Moore is physically situated at 111 N Nappanee Street, in the city of Elkhart, state of IN, with the postal code 46514.
What is Roger T Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roger T Moore is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366408080 to Roger T Moore?
The Centers for Medicare & Medicaid Services originally issued the 1366408080 to Roger T Moore on 2006-04-21.
As of what date were the details pertaining to Roger T Moore last refreshed?
The information related to the Roger T Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN