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NPI Code Detail

MEDICARE: JAMES RICHARD MOSBY MD

MEDICARE:   JAMES RICHARD MOSBY  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
1207P00000XEmergency Medicine Physician18845CO

Other Identifiers

General Provider Information

NPI Number : 1639142888
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES RICHARD MOSBY MD
Provider Business Mailing Address
First Line : 7851 S ELATI ST
Second Line : SUITE 202
City : LITTLETON
State : CO
Zip : 80120-8080
Country : US
Telephone Number : 303-759-0854
Fax Number : 303-759-0864
Provider Business Practice Location Address
First Line : 4231 W 16TH AVE
Second Line : ST. ANTHONY CENTRAL HOSPITAL, EMERGENCY DEPT.
City : DENVER
State : CO
Zip : 80204-1335
Country : US
Telephone Number : 303-629-3721
Fax Number : 303-629-2192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/08/2007

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