Moesinger, Robert Clark

Moesinger, Robert Clark is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 1635 , Ogden UT 84403-3272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moesinger, Robert Clark can be contacted via phone (801) 387-7450.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 1635 Ogden UT 84403-3272
Phone: (801) 387-7450
Fax: (801) 387-7460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0046382 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 6214940-1205 Utah

Profile Details

NPI number 1497717011
LBN Legal business name Moesinger, Robert Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497717011 NPPES
Utah MEDICAID 942854057062
Utah MEDICAID 486700900

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