Individual
DR. JOHN PEASE MOORE III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2595 NEEDMORE RD, DAYTON, OH 45414-4203
(937) 277-3442
(937) 277-2943
Mailing address
2595 NEEDMORE RD, DAYTON, OH 45414-4203
(937) 277-3442
(937) 277-2943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-069259
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047225
—
OH
05
—
2245421
—
OH
Enumeration date
06/22/2005
Last updated
07/09/2007
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