Ethan Moore, D.C.

NPI #1205568730 in Waterford, Pennsylvania

Provider Information

NPI Number: 1205568730
Entity Type: Individual
Name: Ethan Moore, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 24, 2022
Last Updated: Jun 24, 2022

Practice Location

Address: 991 ROUTE 19 N STE C
City: Waterford
State: Pennsylvania
ZIP Code: 16441-9739
Phone: (814) 679-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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