Individual
RENE L. MOSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MERCY WAY STE 460, JOPLIN, MO 64804-4524
(417) 556-6876
Mailing address
100 MERCY WAY STE 460, JOPLIN, MO 64804-4524
(417) 556-6876
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2023022349
MO
2084N0400X
Neurology Physician
224676
NY
2084N0400X
Neurology Physician
7631
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02267081
—
NY
Enumeration date
10/16/2005
Last updated
09/12/2023
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