Individual provider · Type 1 NPI

Courtney Moseley

Surgical Physician Assistant · Shreveport, LA

NPI number 1225433865 Active

Practice location

2751 Albert L Bicknell Dr, Suite 3D
Shreveport, LA 71103-3920

Fax (318) 424-3642

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.200738 (LA)

Surgical Physician Assistant: Definition to come...

30 other providers at this address

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About NPI 1225433865

Courtney Moseley's National Provider Identifier is 1225433865, issued on Oct 24, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shreveport, LA. The record was last updated on Oct 24, 2014.