Individual
DR. DAVID RICHARD MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 9TH ST N, ESSENTIA HEALTH VIRGINIA MEDICAL ARTS, VIRGINIA, MN 55792-2325
(218) 748-7750
Mailing address
901 9TH ST N, ESSENTIA HEALTH VIRGINIA MEDICAL ARTS, VIRGINIA, MN 55792-2325
(218) 748-7750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44580
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150575100
—
MN
05
—
1912958448
—
MN
Enumeration date
05/12/2006
Last updated
10/17/2013
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