Individual
MARY MOEBIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 N POPLAR ST, OXFORD, OH 45056-1204
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 729, OXFORD, OH 45056-0729
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35046600M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555975
—
OH
05
—
64784093
—
KY
Enumeration date
07/16/2005
Last updated
02/20/2008
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