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Contact Information

ROY J MOEN, MD
300 N 7TH ST
BISMARCK, ND58501-4439
 Phone: 701-323-6000
 Fax: 701-323-5918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ROY J MOEN · (Male)

NPI Number 1528092772
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ND License # 8772
  • MT Medicaid 0144636
  • ND Medicaid 11585
  • ND Other 25718 BLUE CROSS OF ND
Hospital affiliation(s)
  • MEDCENTER ONE - (Acute Care)
    300 N 7TH ST
    BISMARCK, ND 58506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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