Moyer, Garold L

Moyer, Garold L is an individual health care provider with primary practice located at 2710 Saint Francis Dr Suite 111, Waterloo IA 50702-5619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moyer, Garold L can be contacted via phone (319) 272-7425.

Contact Information

Primary practice address
2710 Saint Francis Dr Suite 111 Waterloo IA 50702-5619
Fax: (319) 272-8059
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21572 Iowa
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 21572 Iowa

Profile Details

NPI number 1154366904
LBN Legal business name Moyer, Garold L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 19th, 2007 - about 18 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 1154366904 NPPES
Iowa MEDICAID 1183806

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