Individual
DR. CHAD L MOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 N 175TH ST #2000, OMAHA, NE 68118-3515
(402) 596-4411
(402) 596-4410
Mailing address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27090
NE
207R00000X
Internal Medicine Physician
6420
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464000
—
NE
05
—
1881914083
—
IA
05
—
47068731731734
—
NE
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
Enumeration date
06/10/2010
Last updated
05/26/2016
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