Clifford Loren Moudy in Trevor - Independent Duty Corpsman
Clifford Loren Moudy - NPI 1679541676
Clifford Loren Moudy is a Independent Duty Corpsman in Trevor, Wisconsin. Clifford Loren Moudy practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Clifford Loren Moudy is 1679541676. The last update date is 2007-07-08.
Clifford Loren Moudy's current location address is 26800 104th St, Trevor, Wisconsin. You can contact this provider via phone number 8476882616. The mailing address for Clifford Loren Moudy is 26800 104th St, Trevor, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Loren Moudy |
|---|---|
| Address | 26800 104th St, Trevor, Wisconsin |
| Phone Number | 8476882616 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | I.D.C. |
NPI Number Detail
| NPI Number | 1679541676 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26800 104th St |
|---|---|
| City | Trevor |
| State | Wisconsin (WI) |
| Post Code | 531799619 |
| Phone Number | 8476882616 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the Clifford Loren Moudy's unique identification number?
The Clifford Loren Moudy has been assigned the NPI (National Provider Identifier) Number 1679541676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Clifford Loren Moudy is located?
The Clifford Loren Moudy is situated at the following address: 26800 104Th St, Trevor, WI, 531799619.
What is the Clifford Loren Moudy's specialty and taxonomy code?
The Clifford Loren Moudy's specialty is Independent Duty Corpsman, and the corresponding taxonomy code is 1710I1002X.
When did the Clifford Loren Moudy receive its 1679541676?
The Clifford Loren Moudy was issued its 1679541676 on 2006-03-08, which is the date when the organization was assigned this unique identifier.
When was the Clifford Loren Moudy's information last updated?
The Clifford Loren Moudy's information was last updated on 2007-07-08.