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Individual

DR. CHRISTOPHER BARRET MOEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 BEN MERRITT DR STE B, DECATUR, TX 76234-3848
(940) 539-0707
(940) 228-0165
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(940) 539-0707
(940) 228-0165

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S0947
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400620701
TX
01
8LP415
BCBC
TX
Enumeration date
05/19/2014
Last updated
01/26/2023
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