Individual
MARCELO MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
786 D STREET, JOINT BASE ELMENDORF-RICHARDSON (JBER), AK 99505
(505) 249-9655
Mailing address
3051 GARDEN AVE BLDG 1279, FORT SAM HOUSTON, TX 78234-7537
(505) 249-9655
(210) 539-2086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002444
VA
Other
Enumeration date
09/10/2015
Last updated
10/25/2023
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