OrganizationMb Moore MdDurable Medical Equipment & Medical SuppliesSuppliersPractice Address223 Physicians Park, Poplar Bluff, MO 63901-3956(573) 785-4731(573) 785-4601PECOS EnrollmentBased on the most recent information from CMS, provider Mb Moore Md does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1073775680Provider TypeOrganizationFull NameMb Moore MdSubpartNoEnumeration Date6/26/2008Last Updated6/26/2008Contact InformationPractice LocationPractice Address223 Physicians Park, Poplar Bluff, MO 63901-3956Phone(573) 785-4731FaxUnlisted FaxMailing LocationMailing AddressPO Box 3907, Poplar Bluff, MO 63902-3907Phone(573) 785-4601Fax(573) 686-0178Authorized OfficialNameMoore, Mb (Physician Owner)Phone(573) 785-4731Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID627234909DescriptionOtherIssuerMEDICAID DMEMissouri