# PATRICK DANIEL MOORE MOORE FOOT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moore Foot Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396998134
- **Authorized official:** DR. PATRICK DANIEL MOORE DPM (PODIATRIST.OWNER)
- **Authorized official phone:** (308) 237-2621

## Contact information

- **Practice address:** 3811 29TH AVE, STE 3, KEARNEY, NE 68845-1280
- **Practice address phone:** (308) 237-2621
- **Practice address fax:** (308) 237-2023
- **Mailing address:** 3811 29TH AVE, STE 3, KEARNEY, NE 68845-1280
- **Mailing address phone:** (308) 237-2621
- **Mailing address fax:** (308) 237-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 265 | NE | Yes |

## Other

- **Enumeration date:** 10/24/2008
- **Last updated:** 11/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558321505 | INDIVIDUAL NPI | — |