Individual
CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6252 MAHONING AVE, AUSTINTOWN, OH 44515-2003
(240) 686-2300
Mailing address
329 SANCTUARY DR, CORTLAND, OH 44410-8816
(586) 354-3681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.014984
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
07/06/2021
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