Individual
LEON A MOSHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
33 MARSH STREET, WYALUSING, PA 18853-0791
(570) 746-0870
(570) 746-0471
Mailing address
33 MARSH STREET, WYALUSING, PA 18853-0791
(570) 746-0870
(570) 746-0471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004662L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50051972
CAPITAL BLUE CROSS
PA
01
—
M0656553
BLUE CROSS BLUE SHIELD
PA
Enumeration date
05/12/2006
Last updated
02/26/2014
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