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Individual

DR. THOMAS MOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37491
IA
207R00000X
Internal Medicine Physician
R7612
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134232697
IA
01
CC6519
RR MEDICARE GROUP
IA
01
P00722097
RR MEDICARE
IA
Enumeration date
08/17/2006
Last updated
09/05/2018
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