Organization
RHC/F. ALLEN MOORHEAD JR. M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK ALLEN MOORHEAD JR. M.D (PHYSICIAN)
(620) 325-2200
Entity
Organization
Contact information
Practice address
709 MAIN ST, NEODESHA, KS 66757-1634
(620) 325-2200
(620) 325-2410
Mailing address
PO BOX 180, NEODESHA, KS 66757-0180
(620) 325-2200
(620) 325-2410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066
KANSAS MEDICARE
KS
Enumeration date
02/26/2009
Last updated
02/26/2009
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