DR. Jason Dewitt Moore, DC

NPI #1629532734 in Williston, North Dakota

Provider Information

NPI Number: 1629532734
Entity Type: Individual
Name: DR. Jason Dewitt Moore, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 23, 2019
Last Updated: Mar 16, 2020

Practice Location

Address: 2204 2ND AVE W STE 102
City: Williston
State: North Dakota
ZIP Code: 58801-3485
Phone: (701) 577-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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