Individual
MEGAN V MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
101 N VETERANS PKWY, BLOOMINGTON, IL 61704-3596
(309) 663-2700
Mailing address
101 N VETERANS PKWY, BLOOMINGTON, IL 61704-3596
(309) 663-2700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010243
IL
Other
Enumeration date
10/15/2009
Last updated
08/21/2013
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