Individual
JEFFREY R MOSSLER
Active
Individual
JEFFREY R MOSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01036217A
IN
207RC0000X
Cardiovascular Disease Physician
01036217A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01036217A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510127
ANTHEM PTAN
IN
01
—
000000709981
ANTHEM PTAN
IN
01
—
000001373028
ANTHEM PTAN
IN
05
—
100324040
—
IN
01
—
P00397867
RAILROAD MEDICARE
IN
01
—
P00408435
RAILROAD MEDICARE
IN
Enumeration date
02/01/2006
Last updated
03/15/2025
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