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Individual

DR. JOHN ROGER MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C32224
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C322240
BLUE SHIELD
01
13037
COLLEGE HEALTH I PA
01
2343182
AETNA
01
50071
US BEHAVIORAL HEALTH
01
952905594
BLUE CROSS
01
A174012
VALUE OPTIONS
01
M0E1
TORRANCE HOSPITAL I PA
01
N02712
REGENCE BLUE SHIELD
Enumeration date
01/30/2007
Last updated
07/08/2007
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