Individual
DR. NICHOLAS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1462 MARION WALDO RD, MARION, OH 43302
(740) 389-5418
(740) 389-5410
Mailing address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.135378
OH
Other
Enumeration date
03/30/2015
Last updated
07/24/2019
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