DR. Patricia A Moore

NPI #1144229246 in South Bend, Indiana

Provider Information

NPI Number
1144229246
Entity Type
Individual
Name
DR. Patricia A Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Enumeration Date
Jul 20, 2005
Last Updated
Dec 15, 2017

Practice Location

Address
52303 EMMONS RD
Address 2
STE A7
State
Indiana
ZIP Code
46637-4293
Phone
(574) 277-5390

Specialties & Taxonomy Codes

Specialty
Podiatrist

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