Individual
DR. ROY J. MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
(701) 323-5918
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8772
ND
207Q00000X
Family Medicine Physician
Primary
8772
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144636
—
MT
05
—
11585
—
ND
01
—
25718
BLUE CROSS OF ND
ND
Enumeration date
07/11/2006
Last updated
02/25/2025
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