Individual provider · Type 1 NPI
Duane Moore
Student in an Organized Health Care Education/Training Program · Detroit, MI
NPI number
1114397106
Active
Practice location
3415 Seyburn St
Detroit, MI 48214-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1114397106
Duane Moore's National Provider Identifier is 1114397106, issued on Oct 2, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Oct 2, 2015.