Individual
JASON LEIBRANDT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2882
CA
208M00000X
Hospitalist Physician
Primary
20A21982
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
08/08/2025
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