Tracy Moore
Tracy Moore is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in San Dimas, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1335 Cypress St Ste 100San Dimas, CA 91773-3538
Phone: (909) 305-1383
Fax: (909) 305-1435
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Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 298059 (CA) |
|---|
Record details
| NPI number | 1497388417 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 18, 2020 |
| Last updated in NPPES | February 18, 2020 |
| Certification date | February 18, 2020 |
| Mailing address | Po Box 99, San Dimas, CA 91773-0099 |