Individual
LEAH J MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1723 BROADWAY ST, SUITE 410, CAPE GIRARDEAU, MO 63701-4566
(573) 339-1957
(573) 339-9709
Mailing address
PO BOX 1329, CAPE GIRARDEAU, MO 63702-1329
(573) 339-1957
(573) 339-9709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052823
PA
Other
Enumeration date
12/08/2006
Last updated
05/19/2011
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