Spencer Ole Moen is a student in an organized health care education training program in Norfolk, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Spencer Ole Moen NPI is 1962963611. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
825 FAIRFAX AVE # 445
NORFOLK, VA
ZIP 23507-912
Phone: (757) 446-8920
The NPI 1962963611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.