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Individual

JEFFREY MOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 436-4820
Mailing address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 436-4820

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5686
CA
213ES0131X
Foot Surgery Podiatrist
3841
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005742
IL
Enumeration date
08/01/2013
Last updated
10/01/2021
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