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NPI Code Detail

MEDICARE: CATHERINE ELIZABETH MOIZEAU MD

MEDICARE: CATHERINE ELIZABETH MOIZEAU MD
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
1207Q00000XFamily Medicine PhysicianA81624CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A816240OTHERCAMEDI CAL

General Provider Information

NPI Number : 1205866613
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ELIZABETH MOIZEAU MD
Provider Business Mailing Address
First Line : 5168 HONPIE RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-8682
Country : US
Telephone Number : 530-387-4975
Fax Number : 916-341-0192
Provider Business Practice Location Address
First Line : 5168 HONPIE RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-8682
Country : US
Telephone Number : 530-387-4975
Fax Number : 530-387-8062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 09/11/2023

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