Individual provider · Type 1 NPI

Douglas R. Moore, DO

Clinical Cardiac Electrophysiology Physician · Roseville, MI

NPI number 1194729053 Active

Practice location

25195 Kelly Rd Ste A
Roseville, MI 48066-4909

Fax (586) 775-4506

Other practice locations

  • 1223 Mercy Dr, Muskegon, MI 49444-1829 · (231) 672-3500
  • 310 Lafayette Ave SE Ste 300, Grand Rapids, MI 49503-4693 · (616) 685-3450

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X0102202087 (VA)
Clinical Cardiac Electrophysiology Physician 207RC0001X0102202087 (VA)
Clinical Cardiac Electrophysiology Physician Primary 207RC0001X5101013212 (MI)

Clinical Cardiac Electrophysiology Physician: A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

3 other providers at this address

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About NPI 1194729053

Douglas R. Moore, DO's National Provider Identifier is 1194729053, issued on Jun 9, 2005. The primary taxonomy on file is Clinical Cardiac Electrophysiology Physician (207RC0001X), and the practice location is in Roseville, MI. The record was last updated on Oct 11, 2024.