Moore, Tracy

Moore, Tracy is an individual health care provider with primary practice located at 1335 Cypress St Ste 100 , San Dimas CA 91773-3538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Moore, Tracy can be contacted via phone (909) 305-1383.

Contact Information

Primary practice address
1335 Cypress St Ste 100 San Dimas CA 91773-3538
Phone: (909) 305-1383
Fax: (909) 305-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 298059 California

Profile Details

NPI number 1497388417
LBN Legal business name Moore, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2020
Last updated Feb 18th, 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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