Individual
MR. MATTHEW S MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1300 N ONE MILE RD STE 3, DEXTER, MO 63841-1001
(573) 624-7575
(573) 624-3157
Mailing address
2025 W BUSINESS HIGHWAY 60, DEXTER, MO 63841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010028009
MO
Other
Enumeration date
09/14/2010
Last updated
10/14/2015
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