DR. Marty Braxton Moore, O.D.
NPI #1326279217 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1326279217
- Entity Type
- Individual
- Name
- DR. Marty Braxton Moore, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jul 27, 2009
- Last Updated
- Sep 24, 2020
Practice Location
- Address
- 80 TECHNOLOGY DR
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-8513
- Phone
- (304) 306-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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