Dr MICAH ROBERT MOORE is a male medical professional, specializing in General Practice. He graduated in 2017 from West Virginia School Of Osteopathic Medicine.
BRAXTON COUNTY MEMORIAL HOSPITAL
100 HOYLMAN DR
GASSAWAY
WV
266249318
Tel: 3043645156
| Npi | 1346770872 |
| Pac Id | 9830430891 |
| Professional Enrollment Id | I20190401002342 |
| Last Name | MOORE |
| First Name | MICAH |
| Middle Name | ROBERT |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | GENERAL PRACTICE |
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| Organization Legal Name | BRAXTON COUNTY MEMORIAL HOSPITAL |
| Group Practice Pac Id | 5193717759 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 100 HOYLMAN DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GASSAWAY |
| State | WV |
| Zip Code | 266249318 |
| Phone Number | 3043645156 |
| Hospital Affiliation Ccn 1 | 511308 |
| Hospital Affiliation Lbn 1 | BRAXTON COUNTY MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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