Individual
DR. BRYAN EDWARD MOSORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-5025
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102206048
VA
207Q00000X
Family Medicine Physician
LT22008
ME
207Q00000X
Family Medicine Physician
Primary
OP60864272
WA
Other
Enumeration date
12/12/2008
Last updated
08/12/2022
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