Provider Demographics
NPI:1063493252
Name:MORECK, RITA L (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:L
Last Name:MORECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USA MEDICAL DEPARTMENT ACTIVITY JAPAN
Mailing Address - Street 2:UNIT 45011 BLDG 704 ATTN MCJA QM
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96338-5011
Mailing Address - Country:JP
Mailing Address - Phone:01181311-763-8206
Mailing Address - Fax:01181311-763-8183
Practice Address - Street 1:USA MEDICAL DEPARTMENT ACTIVITY JAPAN
Practice Address - Street 2:UNIT 45011 BLDG 704 ATTN MCJA QM
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96338-5011
Practice Address - Country:JP
Practice Address - Phone:01181311-763-8206
Practice Address - Fax:01181311-763-8183
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040965208000000X
TXP7516202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics