Individual
MARK W MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
8750 TRANSIT RD, SUITE 105, EAST AMHERST, NY 14051-2610
(716) 636-1470
(716) 636-1423
Mailing address
8750 TRANSIT RD, SUITE 105, EAST AMHERST, NY 14051-2610
(716) 636-1470
(716) 636-1423
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008128
NY
Other
Enumeration date
11/17/2005
Last updated
02/12/2013
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