Individual
COURTNEY MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 ALBERT L BICKNELL DR, SUITE 3D, SHREVEPORT, LA 71103-3920
(318) 221-4755
(318) 424-3642
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 3D, SHREVEPORT, LA 71103-3920
(318) 221-4755
(318) 424-3642
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200738
LA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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