Basic Information
| Provider Information | |||||||||
| NPI: | 1336104595 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MOSIER & MOSIER FAMILY PHYSICIANS, LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 AMHERST AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | MANHATTAN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 665033046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855398700 | ||||||||
| FaxNumber: | 7857769788 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 AMHERST AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | MANHATTAN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 665033043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855398700 | ||||||||
| FaxNumber: | 7857769788 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2006 | ||||||||
| LastUpdateDate: | 01/15/2014 | ||||||||
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| AuthorizedOfficialLastName: | MOSIER | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7855398700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | KS | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.