Individual
ERIC MOLDESTAD
Active
Individual
ERIC MOLDESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14294
NV
2085R0202X
Diagnostic Radiology Physician
3281405
ID
2085R0202X
Diagnostic Radiology Physician
350049
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104018951
—
CA
05
—
1104018951
—
NV
05
—
200471140A
—
OK
01
—
P01077444
RAILROAD MEDICARE
NV
Enumeration date
08/15/2007
Last updated
04/07/2026
Update your record
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