Individual
STEPHEN R MOSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1106 COLEGATE DR, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1323
(740) 568-2000
(740) 568-2096
Mailing address
5 FOXBORO DR, VIENNA, WV 26105-1939
(304) 295-5949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35053594
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056602000
—
WV
05
—
0501488
—
OH
Enumeration date
08/12/2005
Last updated
02/05/2016
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