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Individual

DR. CHRISTOPHER A MOELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1911 N WEBB RD, WICHITA, KS 67206-3405
(316) 682-7546
(316) 682-7561
Mailing address
1911 N WEBB RD, WICHITA, KS 67206-3405
(316) 682-7546
(316) 682-7561

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-21795
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101081
BCBS
KS
01
637
PHS/PPK
KS
Enumeration date
05/23/2005
Last updated
07/08/2007
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