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DAN MOEZZI MD PC NPI 1962415364


NPI Information

NPI: 1962415364
Provider Name: DAN MOEZZI MD PC

Doing Business As: INDIAN WELLS FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2474 INDIAN WELLS RD
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 443-0339
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DAN MOEZZI MD PC is a primary care clinic center in Alamogordo, NM. DAN MOEZZI MD PC NPI is 1962415364. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Wells Family Practice.

The provider's business location address is:

2474 INDIAN WELLS RD
ALAMOGORDO, NM
ZIP 88310-831
Phone: (575) 443-0339
Fax: (575) 434-5624

The provider's authorized official is Dan H Moezzi .
The authorized official title is President and has the following contact phone number (575) 443-0339.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 2/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care95-302NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H1455MEDICAIDNEW MEXICO
2201017118OTHERNEW MEXICOPRESBYTERIAN HEALTH CARE
3NM004493OTHERNEW MEXICOBLUE CROSS BLUE SHIELD
4G17564MEDICARE UPINNEW MEXICO
5500521034MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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