| Doctor Name: | DR. DAVID L MOORE |
| NPI Number: | 1356735062 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35526 |
| Business Practice Address: | 650 E 25th St Kansas City, MO - 641082716 |
| Business Phone Number: | 8162352100 |
| Business Fax Number: | |
| Mailing Address: | 1020 W 59th St, KANSAS CITY |
| State: | MO |
| Postal Code: | 641131139 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2015 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35526 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |