Dennis Moore in Las Vegas - Adolescent Medicine
Dennis Moore - NPI 1053452250
Dennis Moore is a Adolescent Medicine in Las Vegas, Nevada. Dennis Moore practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Dennis Moore is 1053452250. The last update date is 2021-08-25.
Dennis Moore's current location address is Po Box 15645, Las Vegas, Nevada. You can contact this provider via phone number 7026413212 and fax number 7024590320. The mailing address for Dennis Moore is Po Box 15645, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Moore |
|---|---|
| Address | Po Box 15645, Las Vegas, Nevada |
| Phone Number | 7026413212 |
| Fax Number | 7024590320 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053452250 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2021-08-25 |
Provider Mailing Address Detail
| Address | Po Box 15645 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891145645 |
| Phone Number | 7026413212 |
| Fax Number | 7024590320 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | NV 9907 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053452250 | NV | -- | |
| 2018572 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dennis Moore by the Centers for Medicare & Medicaid Services?
The Dennis Moore has been issued the NPI (National Provider Identifier) 1053452250, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dennis Moore's facilities are situated?
The facilities of Dennis Moore are physically located at the following address: Po Box 15645, Las Vegas, NV, 891145645.
What is Dennis Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dennis Moore's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
On what date did the Dennis Moore receive the assignment of its 1053452250 from the Centers for Medicare & Medicaid Services?
The Dennis Moore was issued its 1053452250 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date were the Dennis Moore's details last updated?
The information pertaining to the Dennis Moore, including its address, specialty, and other details, was most recently updated on 2021-08-25.