Individual
DR. DAVID L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Mailing address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
120038
MO
207LP3000X
Pediatric Anesthesiology Physician
120038
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.091060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204962807
—
MO
Enumeration date
07/17/2006
Last updated
01/04/2016
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