Individual
DR. JONATHAN M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3248 WESTBOURNE DR STE 1, CINCINNATI, OH 45248-5146
(513) 662-3900
(513) 662-3933
Mailing address
32743 23 MILE RD STE 210, CHESTERFIELD, MI 48047-2176
(708) 424-3201
(708) 424-5001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003490
OH
Other
Enumeration date
05/30/2008
Last updated
12/04/2022
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