Moezzi, Dan H

Moezzi, Dan H is an individual health care provider with primary practice located at 2474 Indian Wells Rd , Alamogordo NM 88310-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moezzi, Dan H can be contacted via phone (505) 443-0339.

Contact Information

Primary practice address
2474 Indian Wells Rd Alamogordo NM 88310-3831
Fax: (505) 434-5624
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 95-302 New Mexico

Profile Details

NPI number 1275699357
LBN Legal business name Moezzi, Dan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Aug 30th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275699357 NPPES
New Mexico MEDICAID H1455

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