Organization
MOORE FOOT & ANKLE SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTOPHER MOORE DPM (TREASURY)
(828) 350-1880
Entity
Organization
Contact information
Practice address
136 MIMOSA DR, ASHEVILLE, NC 28806-1719
(828) 350-1880
(828) 252-2272
Mailing address
136 MIMOSA DR, ASHEVILLE, NC 28806-1719
(828) 350-1880
(828) 252-2772
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
467
NC
213E00000X
Podiatrist
477
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
467
NC
213ES0131X
Foot Surgery Podiatrist
477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016A1
BCBS
NC
05
—
89016MW
—
NC
Enumeration date
01/03/2007
Last updated
04/03/2020
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