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NPI Code Detail

MEDICARE: NORMAN OTIS MOSER D.O.

MEDICARE:   NORMAN OTIS MOSER  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician34005388MOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093795650
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMAN OTIS MOSER D.O.
Provider Business Mailing Address
First Line : PO BOX 636930
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6930
Country : US
Telephone Number : 513-981-5123
Fax Number : 513-981-5015
Provider Business Practice Location Address
First Line : 750 W HIGH ST
Second Line : SUITE 150
City : LIMA
State : OH
Zip : 45801-3959
Country : US
Telephone Number : 419-227-1359
Fax Number : 419-227-7586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 08/20/2019

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Directions to “ NORMAN OTIS MOSER D.O.” Practice Location

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