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Individual

MARK ALAN MOZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R2P28
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205145
UNITED HEALTH CARE
01
17646020
BLUE CROSS/BLUE SHIELD
05
203047105
MO
01
204400
FAMILY HEALTH PARTNERS
01
204401
FAMILY HEALTH PARTNERS
01
305740
FIRST GUARD
01
4201077
AETNA
Enumeration date
07/07/2005
Last updated
08/27/2012
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