Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 07000879A | IN |
N | 213ES0131X | Foot Surgery | 2094 | MA |
NPI | 1144350125 |
---|---|
Provider Name | Dr. Steven R. Mosley |
First Address | New Albany, IN 47150-9497 |
Second Address | New Albany, IN 47150-9497 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 12/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200265250A | (05) | IN |
U67892 | (02) | IN |