Individual provider · Type 1 NPI
Brady Joseph Moore
Student in an Organized Health Care Education/Training Program · Staunton, IL
NPI number
1376907931
Active
Practice location
304 W 8th St
Staunton, IL 62088-2018
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.
About NPI 1376907931
Brady Joseph Moore's National Provider Identifier is 1376907931, issued on Apr 11, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staunton, IL. The record was last updated on Apr 11, 2016.