Organization
ROBERT L. MOESINGER, MD, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LIONEL MOESINGER MD (OWNER)
(801) 393-5324
Entity
Organization
Contact information
Practice address
3955 HARRISON BLVD STE U6, OGDEN, UT 84403-2399
(801) 393-5324
(801) 393-7780
Mailing address
3955 HARRISON BLVD STE U6, OGDEN, UT 84403-2399
(801) 393-5324
(801) 393-7780
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
151175-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528505626001
—
UT
Enumeration date
06/29/2006
Last updated
07/31/2007
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