William E Moredock


Address: 1200 W Washington St, Springfield, IL 62702-4770
Phone: 2177871595

William E Moredock (NPI# 1720167026, PAC ID# 4486716339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1720167026
PAC ID by PECOS 4486716339
Professional Enrollment ID I20081231000076
Full Name William E Moredock
Address 1200 W Washington St
Springfield
IL 62702-4770
Phone Number 2177871595
Gender M
Graduation Year 1982
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1200 W Washington St, Springfield, IL 62702-4770 2177871595

Organization Information

Office Location

Street Address 1200 W WASHINGTON ST
City SPRINGFIELD
State IL
Zip 62702-4770

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Competitor

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City SPRINGFIELD
Zip Code 62702
Specialty CLINICAL PSYCHOLOGIST
City + Specialty SPRINGFIELD + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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