Doctor Name: | DR. CHISTOPHER T MOORE |
NPI Number: | 1134336761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 41000211A |
Business Practice Address: | 52637 High Ridge Rd Saint Clairsville, OH - 439509312 |
Business Phone Number: | 7406959255 |
Business Fax Number: | |
Mailing Address: | 109 Mount Wood Rd, WHEELING |
State: | WV |
Postal Code: | 260032632 |
Phone Number: | 3042332455 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 41000211A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |