Organization
PETER C. MOODY, M.D., P.L.C.
Active
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
Update your record
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