Benjamin Abram Moses M.D.

NPI 1053519942 - General Practice - 208D00000X

NPI Details
NPI 1053519942
Gender Male
Enumeration Date 07/03/2007
Last Updated 09/21/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
126 MISSOURI AVE
FORT LEONARD WOOD MO, 65473-8952, US
Phone (573) 842-5003
Fax
Business Location
6131 WOOD PASS
SAN ANTONIO TX, 78249-1933, US
Phone (210) 722-3622
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Indiana
License Number 01067169A
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According to our database, Benjamin Abram Moses M.D. NPI is 1053519942, taxonomy code is 208D00000X and license number is 01067169A, license state is located at Indiana. Benjamin Abram Moses M.D. physically located at 126 Missouri Ave, Fort Leonard Wood MO, 65473-8952. NPI Number Benjamin Abram Moses M.D. has the Individual type.

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1053519942 NPI number is provided on an as is basis without warranty of any kind. 1053519942 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Abram Moses M.D. are for informational purposes only.