Healthcare Provider Details

I. General information

NPI: 1992947592
Provider Name (Legal Business Name): ERIN P MOYER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4409 NW ANDERSON HILL RD
SILVERDALE WA
98383-6807
US

IV. Provider business mailing address

PO BOX 450
SILVERDALE WA
98383-0450
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-6630
  • Fax: 360-698-7002
Mailing address:
  • Phone: 360-698-6630
  • Fax: 360-698-7002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD60277894
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: