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Individual
DR. MELITA N MOORE
Active
Individual
DR. MELITA N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35124167
OH
208100000X
Physical Medicine & Rehabilitation Physician
N9607
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
A108599
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0084055
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124167
LICENSURE
OH
01
—
A108599
LICENSURE
CA
01
—
D0084055
LICENSURE
MD
01
—
N9607
LICENSE
TX
Enumeration date
02/14/2007
Last updated
07/21/2022
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