Individual
CHARLES W MOSELEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1705 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3444
(208) 765-8585
(208) 765-8486
Mailing address
771 S 11TH ST, COEUR D ALENE, ID 83814-3809
(208) 765-7771
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA96
ID
Other
Enumeration date
04/10/2006
Last updated
07/09/2007
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