Individual
MALACHI JORDAN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1657 HOLLAND RD STE A, MAUMEE, OH 43537-1661
(419) 794-2180
Mailing address
3210 STAFFORD DR, OREGON, OH 43616-2352
(419) 650-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006884RX
OH
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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