Edward Ervin Moak, IDC
NPI #1427174879 in Saratoga Springs, New York
Provider Information
- NPI Number
- 1427174879
- Entity Type
- Individual
- Name
- Edward Ervin Moak, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 1 WEST AVE STE 230
- City
- Saratoga Springs
- State
- New York
- ZIP Code
- 12866-6050
- Phone
- (518) 583-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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