Individual
STEPHEN R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 SUMMITT SQ, MIDDLETOWN, OH 45042-3400
(513) 425-0533
(513) 425-0527
Mailing address
1040 SUMMITT SQ, MIDDLETOWN, OH 45042-3400
(513) 425-0533
(513) 425-0527
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35054764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766827
—
OH
Enumeration date
03/08/2006
Last updated
05/15/2008
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