Individual
CHRISTOPHER W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11109 PARKVIEW PLAZA DR STE 2121, FORT WAYNE, IN 46845-1701
(260) 482-4440
(260) 482-4442
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000647
IN
363A00000X
Physician Assistant
Primary
10000647A
IN
Other
Enumeration date
07/19/2006
Last updated
03/25/2026
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