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Randall Moser, LMP
NPI 1487945671 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1018 Idaho St
Lewiston, ID 83501 - Phone
- (208) 791-1019
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho