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Individual

DR. MATTHEW SAND MOSURA

Active
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Individual

DR. MATTHEW SAND MOSURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15597R
LA
208VP0014X
Interventional Pain Medicine Physician
15597R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01249632
RR
LA
Enumeration date
05/02/2007
Last updated
07/31/2020
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