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Individual

DR. ROBERT CLARK MOESINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4403 HARRISON BLVD STE 1635, OGDEN, UT 84403-3272
(801) 387-7450
(801) 387-7460
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-7450
(801) 387-7460

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6214940-1205
UT
208600000X
Surgery Physician
D0046382
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
486700900
MD
05
942854057062
UT
Enumeration date
04/06/2006
Last updated
07/08/2008
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