DR. Bruce Allen Moen, O.D.

NPI #1588694194 in Minot, North Dakota

Provider Information

NPI Number: 1588694194
Entity Type: Individual
Name: DR. Bruce Allen Moen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 3, 2006
Last Updated: Oct 5, 2007

Practice Location

Address: 1100 31ST AVE SW
Address 2: SUITE 2
City: Minot
State: North Dakota
ZIP Code: 58701-2007
Phone: (701) 837-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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