NPI 1174680987

Frederick Mosley, MD

Practitioner Exclusive Provider Organization Farmington, NM

Practice location

Address: 2700 Farmington Ave Bldg. F, Farmington, NM 87401-4559
Phone: (505) 325-1100

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 97-111 (NM)

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1174680987
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.