Individual
RICHARD M MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7534 E 2ND ST, 102, SCOTTSDALE, AZ 85251-4548
(480) 607-3800
(480) 607-3808
Mailing address
7534 E 2ND ST, 102, SCOTTSDALE, AZ 85251-4548
(480) 607-3800
(480) 607-3808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
109735
MO
207R00000X
Internal Medicine Physician
Primary
20266
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100186600B
—
KS
05
—
100186600C
—
KS
05
—
100186600D
—
KS
05
—
208194118
—
MO
05
—
980931
—
AZ
01
—
P00836144
RAILROAD MEDICARE
MO
01
—
P00842632
RAILROAD MEDICARE
KS
Enumeration date
05/08/2006
Last updated
01/12/2016
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