Individual
TAMARA L MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 2100, INDIANAPOLIS, IN 46256-1621
(317) 621-2740
(317) 621-5658
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001026
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00832091
RAILROAD MEDICARE
IN
01
—
P01192141
RR MEDICARE PTAN
IN
Enumeration date
09/30/2008
Last updated
12/05/2014
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