Organization
STEPHANIE MOSLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MOSLEY MD (MEMBER)
(502) 897-1601
Entity
Organization
Contact information
Practice address
127 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 897-1601
Mailing address
PO BOX 6048, LOUISVILLE, KY 40206-0048
(502) 897-1601
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32042
KY
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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