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Individual
DR. JANICE D MOYER
Active
Individual
DR. JANICE D MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A101000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109457
IL.LICENSE NUMBER
IL
01
—
336070411
CONTROLLED SUBSTANCE
IL
01
—
428000
MEDICARE GROUP NUMBER
IL
Enumeration date
11/02/2006
Last updated
08/03/2015
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