Organization
PETER C. MOODY, M.D., P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER CAMPBELL MOODY M.D. (MEMBER)
(810) 733-3780
Entity
Organization
Contact information
Practice address
1286 S LINDEN RD, SUITE A, FLINT, MI 48532-3407
(810) 733-3780
(810) 230-1672
Mailing address
1286 S LINDEN RD, SUITE A, FLINT, MI 48532-3407
(810) 733-3780
(810) 230-1672
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02510801
BCBS
MI
05
—
4697529
—
MI
Enumeration date
11/15/2006
Last updated
01/26/2011
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