Individual
WILLIAM C MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 NELSON RD STE G, LAKE CHARLES, LA 70605-4133
(337) 562-3732
(337) 562-3699
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.019356
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967360
—
LA
01
—
5R705C963
MEDICARE LEGACY
LA
Enumeration date
08/30/2006
Last updated
02/18/2019
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