Individual
NATHANIEL MICHAEL MOORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CNIM
Contact information
Practice address
310 FAIRFIELD PIKE, YELLOW SPRINGS, OH 45387-1903
(937) 718-7778
Mailing address
310 FAIRFIELD PIKE, YELLOW SPRINGS, OH 45387-1903
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
OH
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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