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1619943271

NPI Code Detail

MEDICARE: DR. DAVID H MOSLEY MD

MEDICARE: DR. DAVID H MOSLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C7723	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54240	OTHER	AR	BLUE CROSS BLUE SHIELD
2	770008801	OTHER	AR	BREASTCARE
3	0122200	OTHER	AR	UNITED HEALTHCARE
4	7143401	OTHER	AR	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	13277000000	OTHER	AR	QUALCHOICE
7	423162	OTHER	AR	HEALTHLINK

General Provider Information

NPI Number	:	1619943271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID H MOSLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 757
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71711-0757
Country	:	US
Telephone Number	:	870-836-8101
Fax Number	:	870-837-6833

Provider Business Practice Location Address
First Line	:	353 CASH RD SW
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71701-3704
Country	:	US
Telephone Number	:	870-836-8101
Fax Number	:	870-837-6833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	10/03/2008

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Directions to “ DR. DAVID H MOSLEY MD” Practice Location

Language	Start Address	Practice Location

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