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Individual

DR. JOHN RICHARD MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8570 COTTER ST, LEWIS CENTER, OH 43035-7137
(614) 781-3139
(614) 781-7816
Mailing address
6723 MORNINGSIDE DR., LEWIS CENTER, OH 43035-6063
(740) 549-0091
(740) 549-0091

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2457
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0858255
OH
Enumeration date
05/26/2006
Last updated
06/12/2012
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