Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 0429393 | KS |
NPI | 1285616649 |
---|---|
Provider Name | Dr. Alan Moskowitz |
First Address | Wichita, KS 67205-9363 |
Second Address | Wichita, KS 67205-9363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 02/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100410810H | (05) | KS |
B80924 | (02) |