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Individual

DR. THOMAS E MOSKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 SW 15TH ST, TOPEKA, KS 66604-4333
(785) 273-7871
Mailing address
4100 SW 15TH ST, TOPEKA, KS 66604-4333
(785) 273-7871

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-31434
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200331230A
KS
05
30004009410002
KS
01
KA2129009
MEDICARE PTAN
KS
Enumeration date
06/22/2006
Last updated
03/28/2024
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