Organization
RICHARD A MOYER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT WILLIS (BILLER)
(810) 664-3984
Entity
Organization
Contact information
Practice address
1257 N MAIN ST, LAPEER, MI 48446-1348
(810) 664-3984
(810) 664-2125
Mailing address
1257 N MAIN ST, LAPEER, MI 48446
(810) 664-3984
(810) 664-2125
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101010355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0653890004
CIGNA INSURANCE
—
01
—
1000676
MCLAREN HEALTH PLAN
—
01
—
113342
GREAT LAKES HEALTH PLAN
—
05
—
114210759
—
MI
01
—
4670432
AETNA INSURANCE
—
01
—
5440033
MEDICARE PLUS BLUE
MI
01
—
5440033
BLUE CROSS BLUE SHIELD OF MICHINGA
—
Enumeration date
05/21/2008
Last updated
06/01/2008
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