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Individual

RICHARD ALLEN MOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
307 S COURT ST, LAPEER, MI 48446-2514
(810) 667-6110
(810) 667-3562
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101010355
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205440033
BCBSM
MI
05
4210759
MI
Enumeration date
05/30/2006
Last updated
06/04/2014
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