Individual
MATTHEW MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S GRANT AVE, SUITE 350, COLUMBUS, OH 43215-4701
(614) 566-9489
(614) 566-8392
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35081713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054106
—
OH
Enumeration date
06/13/2006
Last updated
12/24/2020
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