Individual
DR. JOHN C. MOAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7835 PARAGON ROAD, DAYTON, OH 45459
(937) 434-2351
(937) 434-1266
Mailing address
7835 PARAGON ROAD, DAYTON, OH 45459-4021
(937) 434-2351
(937) 434-1266
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
OH35076460
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9576541
—
OH
Enumeration date
11/14/2005
Last updated
07/08/2007
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