Individual
LARRY MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4024 TYSON AVE, PHILA, PA 19135-1608
(215) 333-3322
Mailing address
8114 WINTHROP ST, PHILA, PA 19136-1815
(215) 333-2688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002678L
PA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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