Individual
RODGER EUGENE MOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 S RIDGECREST, NIXA, MO 65714
(417) 725-8250
(417) 724-3185
Mailing address
105 S RIDGECREST, NIXA, MO 65714
(417) 725-8250
(417) 724-3185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9565
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080036692
RR MEDICARE
—
05
—
176410003
—
AR
05
—
1992410179
—
MO
05
—
241039445
—
MO
Enumeration date
06/19/2006
Last updated
06/16/2011
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