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Individual

LARRY B MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1105 SUNSET AVE, MANHATTAN, KS 66502-3761
(785) 532-7755
(785) 532-6627
Mailing address
1105 SUNSET AVE, MANHATTAN, KS 66502-3761
(785) 532-7755
(785) 532-6627

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0420053
KS

Other

Enumeration date
05/12/2006
Last updated
07/08/2007
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