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John K Moffa, M.D.

Internal Medicine in Columbus, OH. Individual provider (NPI-1).

NPI number1962489179
StatusActive
Last updated in NPPESOct 2, 2012

Details

NPI
1962489179
Entity type
Individual (NPI-1)
Name
John K Moffa
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 29, 2005
Last updated
Oct 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35-07-1014OHYes

Other names

  • J Kevin Moffa (Other Name)

Practice location

4030 West Henderson Road
Columbus, OH 43220

Phone 614-442-7550 · Fax 614-442-4100

Mailing address

4030 West Henderson Road
Columbus, OH 43220

Phone 614-442-7550 · Fax 614-442-4100

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