Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 35025905 | OH |
NPI | 1306935846 |
---|---|
Provider Name | Dr. William E Moats |
First Address | Akron, OH 44310-3110 |
Second Address | Akron, OH 44310-3110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 02/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0097416 | (05) | OH |
A707896 | (02) |