Vincent Paul Moore in Fort Wayne - Diagnostic Radiology

Vincent Paul Moore - NPI 1487612784

Vincent Paul Moore is a Diagnostic Radiology in Fort Wayne, Indiana. Vincent Paul Moore practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Vincent Paul Moore is 1487612784. The last update date is 2021-08-02.

Vincent Paul Moore's current location address is 7221 Engle Rd Ste 220, Fort Wayne, Indiana. You can contact this provider via phone number 2604698223 and fax number 2604698201. The mailing address for Vincent Paul Moore is 7221 Engle Rd Ste 220, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Vincent Paul Moore
Address 7221 Engle Rd Ste 220, Fort Wayne, Indiana
Phone Number 2604698223
Fax Number 2604698201
Sole Proprietor Y
Credentials MD, MPH

NPI Number Detail

NPI Number 1487612784
Provider Enumeration Date 2006-05-03
Last Updated Date 2021-08-02

Provider Mailing Address Detail

Address 7221 Engle Rd Ste 220
City Fort Wayne
State Indiana (IN)
Post Code 468042233
Phone Number 2604698223
Fax Number 2604698201

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 23438
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
107111400 FL --

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FAQs about Vincent Paul Moore

What is the unique 10-digit identifier code assigned to Vincent Paul Moore by the Centers for Medicare & Medicaid Services?

The Vincent Paul Moore has been issued the NPI (National Provider Identifier) 1487612784 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Vincent Paul Moore is physically located?

The Vincent Paul Moore is situated at the following address: 7221 Engle Rd Ste 220, Fort Wayne, IN 468042233.

What is Vincent Paul Moore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vincent Paul Moore's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Vincent Paul Moore receive its 1487612784 assignment from the Centers for Medicare & Medicaid Services?

The Vincent Paul Moore was assigned its 1487612784 by the Centers for Medicare & Medicaid Services on 2006-05-03.

When was the information regarding Vincent Paul Moore most recently updated?

The details pertaining to the Vincent Paul Moore, including its address, specialty, and other relevant information, were last refreshed on 2021-08-02.

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