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Individual

DR. JUSTIN DERRICK MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
215 W BOWERY ST STE 5, AKRON, OH 44308-1069
(330) 543-4500
Mailing address
2178 EDGEVIEW DR, HUDSON, OH 44236-1825
(810) 223-1330

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35.139964
OH
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35.139964
OH

Other

Enumeration date
05/05/2016
Last updated
01/21/2025
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