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ADAM K MOOBERRY
1604 S 1ST ST WILLMAR MN 562014243
ADAM K MOOBERRY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1134327703. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8123119930. The primary specialty is PHYSICAL THERAPY. The organization is AFFILIATED COMMUNITY MEDICAL CENTERS. The address is 1604 S 1ST ST, , WILLMAR, MN, 562014243. The zip code is 562014243.
|Nation Provider ID||1134327703|
|PAC ID by PECOS||8123119930|
|Professional Enrollment ID||I20070808000706|
|Name||ADAM K MOOBERRY|
|Medical School Name||OTHER|
|Primary Specialty||PHYSICAL THERAPY|
|All secondary specialties|
|Organization Name||AFFILIATED COMMUNITY MEDICAL CENTERS|
|Group Practice PAC ID||8325952823|
|Number of Group Practice members||127|
|Address||1604 S 1ST ST, , WILLMAR, MN, 562014243|
|Hospital affiliation LBN|