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NPI Code Detail

MEDICARE: ANDREA BOZZO MOSES MD

MEDICARE:   ANDREA BOZZO MOSES  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
1207V00000XObstetrics & Gynecology Physician17831NV
2207V00000XObstetrics & Gynecology Physician34530AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117831OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1730165630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA BOZZO MOSES MD
Provider Business Mailing Address
First Line : 2011 PINTO LN STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4007
Country : US
Telephone Number : 702-664-8279
Fax Number : 702-382-3575
Provider Business Practice Location Address
First Line : 2011 PINTO LN STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4007
Country : US
Telephone Number : 702-664-8279
Fax Number : 702-382-3575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 01/30/2024

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Directions to “ ANDREA BOZZO MOSES MD” Practice Location

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