IndividualActive
James Moore
NPI 1649835521 · Sports Medicine (Emergency Medicine) Physician · Columbia, MO
Provider details
- NPI number
- 1649835521
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 113646 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5010 Wood Shire Dr
Columbia, MO 65202-6654
Phone: (816) 674-5528
Approximate (ZIP-level) locationGet directions
Mailing address
5010 Wood Shire Dr
Columbia, MO 65202-6654
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2019-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.