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Search › Missouri › 152W00000X

Jacob Moore

NPI 1063080554 · on the registry since 2021 · sole proprietor

Practice

Address
500 N Keene St
Suite 103
Columbia, MO 65201
Phone
(573) 874-2030
Fax
(573) 449-0253
Organisation at this address
Amy A Zguta Md Llc
Roger D. Bonham M.D., P.C.
Columbia Retina Clinic, Ltd.
Dr Ali Khojasteh Medexcellence Llc
Curators Of The University Of Missouri
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri