Individual
SCOTT LOGAN MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 W K ST, MC COOK, NE 69001-2419
(308) 737-0473
Mailing address
1209 W K ST, MC COOK, NE 69001-2419
(308) 737-0473
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
35617165
NE
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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