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Individual

DAVID ALEXANDER MOSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 MEDICAL PARK, SUITE 211, WHEELING, WV 26003-6391
(304) 242-3300
(304) 242-8964
Mailing address
30 MEDICAL PARK, SUITE 211, WHEELING, WV 26003-6391
(304) 242-3300
(304) 242-8964

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21710
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001718189
MOUNTAIN STATE BCBS
01
21710
HEALTH PLAN OF UPPER OH V
05
2521195
OH
01
3130525
MAMSI
01
704201
UPMC
Enumeration date
08/09/2005
Last updated
10/09/2012
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