Milan Shannon Moore in Olympia - Orthopaedic Surgery
Milan Shannon Moore - NPI 1063490290
Milan Shannon Moore is a Orthopaedic Surgery in Olympia, Washington. Milan Shannon Moore practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Milan Shannon Moore is 1063490290. The last update date is 2022-07-21.
Milan Shannon Moore's current location address is 3901 Capital Mall Dr Sw Ste A, Olympia, Washington. You can contact this provider via phone number 3607868990 and fax number 3607869010. The mailing address for Milan Shannon Moore is 3901 Capital Mall Dr Sw Ste A, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Milan Shannon Moore |
|---|---|
| Address | 3901 Capital Mall Dr Sw Ste A, Olympia, Washington |
| Phone Number | 3607868990 |
| Fax Number | 3607869010 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063490290 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3901 Capital Mall Dr Sw Ste A |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985028654 |
| Phone Number | 3607868990 |
| Fax Number | 3607869010 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | MD00039784 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148355 | WA | LABOR & INDUSTRIES | |
| 5918MO | WA | REGENCE | |
| GAB21356 | WA | MEDICARE LEGACY | |
| 1001556 | WA | -- | |
| 8275349 | WA | DSHS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Milan Shannon Moore by the Centers for Medicare & Medicaid Services?
The Milan Shannon Moore has been assigned the NPI (National Provider Identifier) 1063490290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Milan Shannon Moore?
The Milan Shannon Moore is situated at 3901 Capital Mall Dr Sw Ste A, in the city of Olympia, state of WA, with the zip code 985028654.
What is the Milan Shannon Moore's specialty and taxonomy code?
The Milan Shannon Moore's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.
On what date did Milan Shannon Moore receive its 1063490290 assignment from the Centers for Medicare & Medicaid Services?
The Milan Shannon Moore was assigned its 1063490290 on 2006-01-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Milan Shannon Moore most recently updated or revised?
The details related to Milan Shannon Moore, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.