Healthcare Provider Details

I. General information

NPI: 1487158242
Provider Name (Legal Business Name): STEVEN MOSEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
MORGANTOWN WV
26506-1200
US

IV. Provider business mailing address

101 STADIUM DR
MORGANTOWN WV
26506-7911
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4850
  • Fax: 304-598-4871
Mailing address:
  • Phone: 304-598-4850
  • Fax: 304-598-4871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number3476
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: