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Individual

NELSON MOZIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24258
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01242585
CO
01
110003193
RAILROAD MEDICARE
CO
01
4009642
AETNA
CO
01
800330000
TRICARE
CO
01
840919953001
RMHP
CO
01
84091995301
PACIFICARE
CO
01
MO226618
ANTHEM INDIVIDUAL
CO
01
NO226608
ANTHEM GROUP
CO
Enumeration date
06/30/2005
Last updated
04/21/2008
Update your record

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