Individual provider · Type 1 NPI
Melinda Beth Moore, DPM
Foot & Ankle Surgery Podiatrist · Carterville, IL
NPI number
1508003849
Active
Practice location
807 S Division St
Carterville, IL 62918-1528
Fax (618) 985-3338
Other practice locations
- 3022 S Park Ave, Herrin, IL 62948-3721 · (847) 302-8115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016005343 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1508003849
Melinda Beth Moore, DPM's National Provider Identifier is 1508003849, issued on Jan 8, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Carterville, IL. The record was last updated on Mar 17, 2018.