Individual
JEFFREY DUANE MOORE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPECIALIST
Contact information
Practice address
2601 SHORT VINE ST, CINCINNATI, OH 45219-2016
(513) 646-5126
Mailing address
PO BOX 19576, CINCINNATI, OH 45219-0576
(513) 646-5126
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
054658
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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