Individual
RICHARD GRANT MOSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 COPPERFIELD BLVD, CONCORD, NC 28025-2402
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
201001031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915477
—
NC
Enumeration date
10/01/2008
Last updated
05/12/2011
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