Edward Ervin Moak, IDC
Edward Ervin Moak, IDC is an Independent Duty Corpsman in Saratoga Springs, New York. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
1 W Ave Ste 230Saratoga Springs, NY 12866-6050
Phone: (518) 583-5300
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X (CT) |
|---|
Record details
| NPI number | 1427174879 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | July 26, 2007 |
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