Individual
MR. OTHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18430 WESTHAMPTON, SOUTHFIELD, MI 48075
(313) 844-1496
Mailing address
18430 WESTHAMPTON AVE, SOUTHFIELD, MI 48075-4116
(313) 844-1496
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
7153185
MI
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us