NPI 1013382555
Samuel Moses
Practice location
- Address
- 1360 Calista Drive, Bethel, AK 99559-0528
- Phone
- (907) 543-6830
- Fax
- (907) 543-3471
- Mailing address
- PO Box 528 Attn: Bh Sobering Center, Bethel, AK 99559-0528
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1013382555
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Dec 2015
- Record last updated
- 9 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.