Individual provider · Type 1 NPI
John B. Moore Iv, MD
Plastic and Reconstructive Surgery Physician · Olathe, KS
NPI number
1316928229
Active · reactivated Oct 31, 2006
Practice location
20375 W 151st St, Suite 370
Olathe, KS 66061
Fax (913) 782-5813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 0420320 (KS) |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 0420320 (KS) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1316928229
John B. Moore Iv, MD's National Provider Identifier is 1316928229, issued on Nov 8, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Olathe, KS. The record was last updated on Aug 3, 2011.