IndividualActive
Brian Moore, MD
NPI 1548248552 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Eglin Afb, FL
Provider details
- NPI number
- 1548248552
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L7051 (TX)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense MD.200570 (LA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391
Phone: (850) 883-8264
Fax: (850) 883-8253
Approximate (ZIP-level) locationGet directions
Mailing address
307 Boatner Rd
Eglin Afb, FL 32542-1391
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2009-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.