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Dr. Patricia A Moore
Podiatrist in South Bend, Indiana
NPI 1144229246

Patricia A Moore is a Podiatrist based in South Bend, IN. Patricia A Moore practices in South Bend, IN. The NPI Number for Patricia A Moore is 1144229246 and holds a License No. 5901001129 (Indiana).

The current practice location address for Patricia A Moore is 52303 Emmons Rd, South Bend, IN and can be reached out via phone at 574-277-5390 and via fax at 574-277-6340.

Location: 52303 Emmons Rd, South Bend, IN, 46637-4293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144229246
Provider Name
Patricia A Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
52303 Emmons Rd, South Bend, IN, 46637-4293
Phone Number
574-277-5390
Fax Number
574-277-6340
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100223850A 05 IN
1470280 05 MI
institution
Provider Business Practice Location Address Details
Address
52303 Emmons Rd
City
South Bend
State
Indiana
Zip
46637-4293
Phone Number
574-277-5390
Fax Number
574-277-6340
person
Provider Business Mailing Address Details
Address
52303 Emmons Rd
City
South Bend
State
Indiana
Zip
46637-4293
Phone Number
574-277-5390
Fax Number
574-277-6340
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5901001129 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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