IndividualActive
Cody Moore
NPI 1720547862 · Emergency Medicine Physician · Dillon, MT
Provider details
- NPI number
- 1720547862
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Mailing address
1 Medical Center Dr
Morgantown, WV 26506-1200
Registry dates
- Enumerated
- 2019-03-18
- Last updated
- 2023-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.