Individual
SCOTT E MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 N HILLSIDE ST, WICHITA, KS 67214-4914
(316) 962-3070
(316) 962-4960
Mailing address
PO BOX 47490, WICHITA, KS 67201-7490
(316) 962-3150
(316) 962-7334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-21797
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054786
BCBS OF KANSAS
KS
05
—
100114330B
—
KS
01
—
631520
FIRSTGUARD
KS
Enumeration date
05/18/2006
Last updated
01/27/2022
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