Moore, Royce David

Moore, Royce David is an individual health care provider with primary practice located at 3050 E River Bluff Blvd , Ozark MO 65721-8807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Moore, Royce David can be contacted via phone (417) 820-7969.

Contact Information

Primary practice address
3050 E River Bluff Blvd Ozark MO 65721-8807
Phone: (417) 820-7969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2014014739 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TP188 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2014014739 Missouri

Profile Details

NPI number 1205157641
LBN Legal business name Moore, Royce David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Jul 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205157641 NPPES
Missouri MEDICAID 1205157641

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