Individual
DANIEL KURT MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4621 PATRICK HENRY CIR UNIT A, SCOTT AIR FORCE BASE, IL 62225-6846
(814) 323-0666
Mailing address
4621 PATRICK HENRY CIR UNIT A, SCOTT AIR FORCE BASE, IL 62225-6846
(814) 323-0666
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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