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Individual
BRIAN J. MOENCH
Active
Individual
BRIAN J. MOENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
166534-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005585102
IHC
UT
01
—
1502954
UMWA
UT
01
—
20835
DESERET MUTUAL
UT
01
—
66119
PEHP
UT
01
—
702
HEALTHY U
UT
05
—
820309
—
AZ
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07309
MOLINA
UT
Enumeration date
08/07/2006
Last updated
07/08/2007
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