Individual
JAMES WILLIAM MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1158 BELVOIR AVE, KETTERING, OH 45409-1429
(937) 477-1417
Mailing address
1158 BELVOIR AVE, KETTERING, OH 45409-1429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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