Dr. Royce David Moore
Family Doctor Family Doctor - Sports Medicine Sports Medicine Orthopaedic Surgeon
3050 E River Bluff Blvd
Ozark
, Missouri 65721-8807
Dr. Royce David Moore
Family Doctor Family Doctor - Sports Medicine Sports Medicine Orthopaedic Surgeon
3050 E River Bluff Blvd
Ozark
, Missouri 65721-8807
(417) 820-7969
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Royce David Moore
- 3050 E River Bluff Blvd
- Ozark, MO
- Zip : 65721-8807
- Phone : (417) 820-7969
Second Address
- Dr. Royce David Moore
- 3050 E River Bluff Blvd
- Ozark, MO
- Zip : 65721-8807
- Phone : (417) 820-7969
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | TP188 | KY |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 2014014739 | MO |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2014014739 | MO |
National Provider Identifier
| NPI | 1205157641 |
|---|---|
| Provider Name | Dr. Royce David Moore |
| First Address | Ozark, MO 65721-8807 |
| Second Address | Ozark, MO 65721-8807 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2010 |
| Last Update Date | 16/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1205157641 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.