Individual
DR. DOUGLAS EDWARD MOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
9500 EUCLID AVE, MAILSTOP FA20, CLEVELAND, OH 44195
(216) 444-4539
(216) 636-0090
Mailing address
9500 EUCLID AVE, MAILSTOP FA20, CLEVELAND, OH 44195-0001
(216) 444-4539
(216) 636-0090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
096237
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
096237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001632306
—
PA
Enumeration date
02/17/2006
Last updated
11/23/2010
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