Organization
WILLIAM E MOSS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E MOSS M.D. (PRESIDENT OWNER)
(502) 366-0392
Entity
Organization
Contact information
Practice address
4801 MANSLICK RD, SUITE 100, LOUISVILLE, KY 40216-4097
(502) 366-0392
(502) 366-7086
Mailing address
4801 MANSLICK RD, SUITE 100, LOUISVILLE, KY 40216-4097
(502) 366-0392
(502) 366-7086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16800
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90004094
—
KY
Enumeration date
09/20/2006
Last updated
05/13/2010
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