Individual
CHARLES B MOSHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 HWY 49 N, MARIPOSA, CA 95338-0155
(209) 966-3672
(209) 966-5548
Mailing address
PO BOX 155, MARIPOSA, CA 95338-0155
(209) 966-3672
(209) 966-5548
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G20790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G207900
—
CA
Enumeration date
12/21/2006
Last updated
11/05/2008
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