Individual
DR. NICHOLAS DAVID MOSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 SE 15TH ST, MIDWEST CITY, OK 73110-8002
(405) 844-4300
Mailing address
8900 SE 15TH ST, MIDWEST CITY, OK 73110-8002
(405) 844-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37081
OK
390200000X
Student in an Organized Health Care Education/Training Program
4301113168
MI
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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