Individual
AMY A MOSHER
Active
Individual
AMY A MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036114248
IL
2085R0202X
Diagnostic Radiology Physician
Primary
R4H51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090000352
IL BLUE
—
01
—
010013128
MO CARE
—
01
—
018012444
CARE
—
01
—
1390
MO BLUE
—
01
—
141835
H LINK
—
01
—
1650512
PH PLAN
—
01
—
203077003
MO CAID
—
01
—
24349
BLUE CHOICE
—
01
—
2781
GHP
—
01
—
300066989
RR CARE
—
01
—
300066996
RR CARE
—
01
—
398021
HLT PART
—
01
—
431725842MID
MERCY
—
01
—
6661
HCARE USA
—
01
—
E12419
GATE WAY
—
Enumeration date
07/17/2006
Last updated
03/18/2009
Update your record
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