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1942208624

NPI Code Detail

MEDICARE: MARK ALAN MOZER MD

MEDICARE: MARK ALAN MOZER 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	208000000X	Pediatrics Physician	R2P28	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1205145	OTHER		UNITED HEALTH CARE
2	204401	OTHER		FAMILY HEALTH PARTNERS
3	4201077	OTHER		AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	17646020	OTHER		BLUE CROSS/BLUE SHIELD
6	305740	OTHER		FIRST GUARD
7	204400	OTHER		FAMILY HEALTH PARTNERS

General Provider Information

NPI Number	:	1942208624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ALAN MOZER MD

Provider Business Mailing Address
First Line	:	205 W R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2518
Country	:	US
Telephone Number	:	816-228-4770
Fax Number	:	816-228-1156

Provider Business Practice Location Address
First Line	:	205 W R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2518
Country	:	US
Telephone Number	:	816-228-4770
Fax Number	:	816-228-1156

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/27/2012

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Directions to “ MARK ALAN MOZER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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