DR. Chad Edwin Moore, OD

NPI #1700817210 in Joplin, Missouri

Provider Information

NPI Number: 1700817210
Entity Type: Individual
Name: DR. Chad Edwin Moore, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 5, 2006
Last Updated: Oct 2, 2019

Practice Location

Address: 1531 WEST 32ND STREET
Address 2: SUITE 102
City: Joplin
State: Missouri
ZIP Code: 64804-1651
Phone: (417) 781-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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