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Individual

BRIAN D. MOSELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8730
(513) 475-8033
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-0001
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
3512337
OH
2084N0400X
Neurology Physician
52010
MN
2084N0400X
Neurology Physician
A119532
CA
2084N0600X
Clinical Neurophysiology Physician
3512337
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407010382
CA
05
ENROLLED
MN
01
P00863974
MEDICARE RAILROAD
MN
Enumeration date
07/10/2008
Last updated
11/13/2017
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