DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DURMAN WILLIAM MOOSE JR., MD

Active Sole Proprietor

DURMAN WILLIAM MOOSE JR., MD is a 2083P0011X healthcare provider located in CHARLOTTE, North Carolina. NPI 1174635601 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · CHARLOTTE, NC

Registration Details

NPI Number
1174635601
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.958809528418 yrs)
Last Updated
Nov 9, 2012
Licenses
32543 (NC)
32543 (NC)
Sole Proprietor
Yes

Practice Information

Address
1601 ABBEY PL
STE 105
CHARLOTTE, NC, 282093835
Browse NC providers · Browse ZIP 28209
Phone
7045125360
Fax
7045125080
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
2083P0011X

Other 2083P0011X Providers in CHARLOTTE, NC

Name Credential NPI
DR. RICHARD W ZOLLINGER II M.D. 1730393232
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.