Individual
JAMES R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4885 OLENTANGY RIVER RD, SUITE 1-10, COLUMBUS, OH 43214-1952
(614) 268-6555
(614) 457-5706
Mailing address
4885 OLENTANGY RIVER RD, SUITE 1-10, COLUMBUS, OH 43214-1952
(614) 268-6555
(614) 457-5706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-9195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0591908
—
OH
Enumeration date
12/15/2005
Last updated
01/26/2016
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