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Individual

DR. MARK WILLIAM MOSSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
159 HARTLEY WAY, PEARISBURG, VA 24134-2471
(540) 921-6000
(540) 921-5233
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101263151
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277836
SC
01
P00246589
MEDICARE RAILROAD
Enumeration date
06/29/2006
Last updated
04/17/2026
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