Healthcare Provider Details

I. General information

NPI: 1477616084
Provider Name (Legal Business Name): WILLIAM HILL MOSHIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6257 E SHADY GROVE RD
MEMPHIS TN
38120-2642
US

IV. Provider business mailing address

6257 E SHADY GROVE RD
MEMPHIS TN
38120-2642
US

V. Phone/Fax

Practice location:
  • Phone: 901-682-2546
  • Fax: 901-751-3145
Mailing address:
  • Phone: 901-682-2546
  • Fax: 901-751-3145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD4271
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: