Individual
STEPHANY K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 630-9708
(740) 630-9709
Mailing address
5400 FRANTZ RD, STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35080685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319600
—
OH
Enumeration date
12/21/2005
Last updated
08/23/2017
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