Individual
SUSAN M MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-9600
Mailing address
8355 STIRRUP COURT, MENTOR, OH 44060
(440) 975-8181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001051
OH
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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