Individual
CHRISTINE M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
(440) 816-6263
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
(440) 816-6263
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016462
—
OH
Enumeration date
10/26/2009
Last updated
08/24/2020
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