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Individual

MOSES A. OWOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL, FORT DEFIANCE, AZ 86504
(928) 205-8000
Mailing address
PO BOX 811, FORT DEFIANCE, AZ 86504-0811
(928) 205-9729

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
056905
GA
208600000X
Surgery Physician
Primary
41707
TN

Other

Enumeration date
09/20/2006
Last updated
11/14/2014
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