Individual provider · Type 1 NPI

Adar J. Moore

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1336014133 Active

Practice location

11791 Braile St
Detroit, MI 48228-1038

Call (248) 808-5371 Map

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 1336014133

Adar J. Moore's National Provider Identifier is 1336014133, issued on Oct 9, 2025. 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 9, 2025.