Individual provider · Type 1 NPI
William Dywayne Moore, EMT
Customized Equipment (DME) · Stevenson, AL
NPI number
1083394647
Active
Practice location
205 Kentucky Ave Suite 1, Stevenson, Al 35772
Stevenson, AL 35772
Fax (256) 437-6509
Mailing address
955 County Road 255
Bridgeport, AL 35740-7425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1083394647
William Dywayne Moore, EMT's National Provider Identifier is 1083394647, issued on Jul 19, 2023. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Stevenson, AL. The record was last updated on Jul 27, 2023.