Individual
DR. GEORGE T MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 NE PARK PLAZA DR STE 145, VANCOUVER, WA 98684-5873
(360) 729-8383
(360) 729-3534
Mailing address
201 HOSPITAL DRIVE, DOVER, OH 44622
(330) 343-6631
(330) 343-8188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15.63
WV
2084P0800X
Psychiatry Physician
1563
WV
2084P0800X
Psychiatry Physician
34007515M
OH
2084P0800X
Psychiatry Physician
Primary
OP61572225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222218
ANTHEM
OH
05
—
2205947
—
OH
01
—
260049831
RAILROAD MEDICARE
OH
01
—
292576000
MAGELLAN BEHAVIORAL
OH
01
—
300197600
US DEPT OF LABOR
OH
01
—
311814468027
CARESOURCE
OH
01
—
Y544999
HEALTH PLAN
OH
Enumeration date
03/01/2006
Last updated
06/11/2024
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