Individual
DR. JAMES DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 MONROE ST, DOVER, OH 44622-2046
(330) 364-8889
(330) 343-7505
Mailing address
603 MONROE ST, DOVER, OH 44622-2046
(330) 364-8889
(330) 343-7505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61813
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0856131
—
OH
Enumeration date
08/02/2006
Last updated
07/08/2007
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