Individual
MICHAEL J MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-1962
Mailing address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-1962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60380187
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD60380187
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
38958
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD60380187
WA
Other
Enumeration date
07/11/2008
Last updated
08/30/2013
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