Individual provider · Type 1 NPI

Spencer Moore

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1114729340 Active

Practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Fax (317) 338-6359

Mailing address

350 W 14th St
Indianapolis, IN 46202-2369

Other practice locations

  • 705 Riley Hospital Dr Rm W6130A, Indianapolis, IN 46202-5109 · (317) 274-0267
  • 550 University Blvd, Indianapolis, IN 46202-5149 · (317) 274-0267

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1114729340

Spencer Moore's National Provider Identifier is 1114729340, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 16, 2026.