Individual provider · Type 1 NPI

Micah Moore

Other Specialist/Technologist · Carthage, MO

NPI number 1093589152 Active

Practice location

149 E 3rd St
Carthage, MO 64836-1620

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

About NPI 1093589152

Micah Moore's National Provider Identifier is 1093589152, issued on Nov 9, 2023. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Carthage, MO. The record was last updated on Nov 9, 2023.