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Individual

MICHAEL MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 SAINT MARYS PLZ, JEFFERSON CITY, MO 65101-1602
(573) 761-7000
Mailing address
8445 COUNTY ROAD 379, NEW BLOOMFIELD, MO 65063-1159

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36197
MO

Other

Enumeration date
10/27/2006
Last updated
07/08/2007
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