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Individual

RANDAL C MOSELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
(509) 665-6065
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 665-6065

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038076
WA
208M00000X
Hospitalist Physician
MD00038076
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255449815
WA
01
132593
L&I
WA
01
P01287757
RR MEDICARE
WA
Enumeration date
08/25/2006
Last updated
12/12/2023
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