NPI 1144229246

Patricia a Moore

Practitioner Podiatrist South Bend, IN

Practice location

Address: 52303 Emmons Rd STE A7, South Bend, IN 46637-4293
Phone: (574) 277-5390
Fax: (574) 277-6340

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 07000521A (IN)

Other Podiatrist providers in Indiana →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 5901001129 (MI)

Registry record

NPI: 1144229246
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2005
Record last updated: 15 Dec 2017

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.