NPI 1063670602

Jonathan M Moore, DPM

Practitioner Podiatrist Cincinnati, OH

Practice location

Address: 3248 Westbourne Dr STE 1, Cincinnati, OH 45248-5146
Phone: (513) 662-3900
Fax: (513) 662-3933
Mailing address: 32743 23 Mile Rd STE 210, Chesterfield, MI 48047-2176

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 36003490 (OH)

Other Podiatrist providers in Ohio →

Registry record

NPI: 1063670602
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2008
Record last updated: 4 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.