Individual
DR. BRIAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 SOUTH GREEN ROAD, SUITE 146, SOUTH EUCLID, OH 44121-4121
(216) 382-3806
(216) 382-6735
Mailing address
1611 SOUTH GREEN ROAD, SUITE 146, SOUTH EUCLID, OH 44121-4121
(216) 382-3806
(216) 382-6735
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35124097
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2008
Last updated
07/25/2014
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