| NPI | 1619323946 |
|---|---|
| Professional Name | JUSTIN DERRICK MOORE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.139964) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.139964) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-04-03 |