Individual
SUSAN MOYER
Active
Individual
SUSAN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD026284E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095186
HIGHMARK BCBS
—
01
—
0054161000
KEYSTONE/PERSONAL CHOICE
—
01
—
04-78954
EVERCARE
—
01
—
611455212002
TRICARE NORTH
—
Enumeration date
05/18/2006
Last updated
11/17/2022
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