Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0423400 | KS |
NPI | 1043272305 |
---|---|
Provider Name | Dennis F Moore JR. |
First Address | Wichita, KS 67214-3729 |
Second Address | Wichita, KS 67214-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100159600B | (05) | KS |
1286700002 | DMERC REGION 1 (01) | |
1286700003 | DMERC REGION 1 (01) | |
1286700004 | DMERC REGION 1 (01) | |
1286700005 | DMERC REGION 1 (01) | |
1286700006 | DMERC REGION 1 (01) | |
1286700007 | DMERC REGION 1 (01) | |
1286700008 | DMERC REGION 1 (01) | |
1286700009 | DMERC REGION 1 (01) | |
1286700011 | DMERC REGION 1 (01) | |
1286700012 | DMERC REGION 1 (01) | |
1286700013 | DMERC REGION 1 (01) | |
1286700015 | DMERC REGION 1 (01) | |
12867010010 | DMERC REGION 1 (01) | |
F03269 | (02) | KS |