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NPI Code Detail

MEDICARE: NATALIE MARIE MOSLEY D.O.

MEDICARE: NATALIE MARIE MOSLEY D.O.
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
1208800000XUrology PhysicianDR.0055366CO
2208800000XUrology Physician9406OK

General Provider Information

NPI Number : 1639496987
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE MARIE MOSLEY D.O.
Provider Business Mailing Address
First Line : 6502 S YALE AVE STE 3410
Second Line :
City : TULSA
State : OK
Zip : 74136-8329
Country : US
Telephone Number : 918-499-4855
Fax Number : 918-488-6098
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-502-5930
Fax Number : 918-502-5935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2010
Last Update Date : 05/11/2026

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Directions to “ NATALIE MARIE MOSLEY D.O.” Practice Location

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