Individual
DR. CASIE E MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(189) 975-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201391900
—
IN
05
—
7100145310
—
KY
Enumeration date
08/10/2009
Last updated
05/15/2021
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