DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PATRICIA A MOORE

Active Sole Proprietor

DR. PATRICIA A MOORE is a Podiatrist healthcare provider located in SOUTH BEND, Indiana. NPI 1144229246 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · SOUTH BEND, IN

Registration Details

NPI Number
1144229246
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2005 (21.036174714509 yrs)
Last Updated
Dec 15, 2017
Licenses
5901001129 (MI)
07000521A (IN)
Sole Proprietor
Yes

Practice Information

Address
52303 EMMONS RD
STE A7
SOUTH BEND, IN, 466374293
Browse IN providers · Browse ZIP 46637
Phone
5742775390
Fax
5742776340
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist

Other Podiatrist Providers in SOUTH BEND, IN

Name Credential NPI
MR. JEFF LEE NIESPODZIANY DPM 1548255292
DR. CLINTON HERWIN SCOTT JR. DPM 1750360137
DR. DAMIAN D DIETER DPM 1467494393
DONALD D MCGOWAN DPM 1629157680
DR. RAYMOND KENT ALDERTON DPM 1952436776
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.