Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC001779-L | PA |
NPI | 1578653978 |
---|---|
Provider Name | Dr. Terry L Moyer |
First Address | Bethlehem, PA 18017-3907 |
Second Address | Bethlehem, PA 18017-3907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 08/07/2007 |