Individual
RUNDALL T MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 W EDGEWOOD ST, SPRINGFIELD, MO 65807-5584
(417) 824-5652
Mailing address
3850 W EDGEWOOD ST, SPRINGFIELD, MO 65807-5584
(417) 824-5652
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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