Individual
JASON L MOSHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2024 DORCHESTER CT STE 2, GOSHEN, IN 46526-6546
(574) 537-1626
(574) 364-2939
Mailing address
2024 DORCHESTER CT STE 2, GOSHEN, IN 46526-6546
(574) 537-1626
(574) 364-2939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060576A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518120
—
IN
Enumeration date
03/10/2006
Last updated
03/18/2024
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