Moyer, Garold L
Moyer, Garold L is an individual health care provider with primary practice located at 2710 Saint Francis Dr Suite 111, Waterloo IA 50702-5619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moyer, Garold L can be contacted via phone (319) 272-7425.Contact Information
Primary practice address
2710 Saint Francis Dr Suite 111
Waterloo IA 50702-5619
Phone: (319) 272-7425
Fax: (319) 272-8059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21572 | Iowa |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 21572 | Iowa |
Profile Details
| NPI number | 1154366904 |
|---|---|
| LBN Legal business name | Moyer, Garold L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 19th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154366904 | NPPES |
| Iowa | MEDICAID | 1183806 |
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