Doctor Name: | RADU MOISA |
NPI Number: | 1053520023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | LL16042 |
Business Practice Address: | 2865 Daggett Ave Klamath Falls, OR - 976011106 |
Business Phone Number: | 5418836221 |
Business Fax Number: | 5418836247 |
Mailing Address: | 2865 Daggett Ave, KLAMATH FALLS |
State: | OR |
Postal Code: | 976011106 |
Phone Number: | 5418836221 |
Fax Number: | 5418836247 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 02/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | LL16042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |