Paul R Moller, DO is a
Otolaryngology physician based in Tuba City, Arizona. Paul R Moller is licensed to practice in Arizona (license number 2740) and his current practice location is 167 North Main Street, Tuba City, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 283-2501.
NPI number for Paul R Moller is 1619910387 and his current mailing address is Po Box 600, 167 North Main Street, Tuba City, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619910387.
Physician's Profile
| Full Name | Paul R Moller |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 167 North Main Street, Tuba City, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619910387
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Paul R Moller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619910387 | NPI | - | NPPES |
| 420703 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 2740 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul R Moller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul R Moller, DO
Po Box 600, 167 North Main Street,
Tuba City, AZ 86045-0600
Ph: (928) 283-2501 | Paul R Moller, DO
167 North Main Street,
Tuba City, AZ 86045-0600
Ph: (928) 283-2501 |
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