Individual
MISS SARA ANN MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
800 KENYON RD STE U, FORT DODGE, IA 50501-5776
(515) 574-6850
(515) 576-4510
Mailing address
802 KENYON RD, 513, FORT DODGE, IA 50501-5740
(515) 574-6850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002295
IA
Other
Enumeration date
07/23/2012
Last updated
12/29/2021
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