Larry B Moeller, M.D. Valid NPI

Individual provider · Adult Medicine Physician · Manhattan, KS

NPI

1467403899

Type

Individual (Type 1)

Primary specialty

Adult Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QA0505X

License number

0420053 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-12

Last updated

2007-07-08