Individual
MR. JOHN LEROY MOYER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2601 GRANDVIEW BLVD, WEST LAWN, PA 19609-1324
(610) 670-0185
(610) 670-2648
Mailing address
902 IVY LN, WYOMISSING, PA 19610-1528
(610) 670-1584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000283A
PA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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