Individual
DR. MICHAEL JOHN MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
729 MEDICAL CENTER DRIVE WEST, 221, CLOVIS, CA 93611
(559) 299-6600
(559) 326-2530
Mailing address
729 N MEDICAL CENTER DR W STE 221, CLOVIS, CA 93611-6885
(559) 299-6600
(559) 326-2530
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G80577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ37565Z
MEDICARE ID
CA
Enumeration date
05/28/2006
Last updated
07/31/2019
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