Individual
NATHAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10553 SAINT CLAIR AVE, CLEVELAND, OH 44108-1973
(216) 682-7702
(216) 920-6273
Mailing address
12067 APPLETON DR, PARMA HEIGHTS, OH 44130-4223
(469) 658-6772
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.004134
OH
213E00000X
Podiatrist
59.000886
OH
Other
Enumeration date
04/06/2021
Last updated
03/14/2025
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