Provider Demographics
NPI:1306005533
Name:MOSIER, HAZEL ARLENE
Entity Type:Individual
Prefix:MRS
First Name:HAZEL
Middle Name:ARLENE
Last Name:MOSIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 W CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:SPERRY
Mailing Address - State:OK
Mailing Address - Zip Code:74073-4248
Mailing Address - Country:US
Mailing Address - Phone:918-288-7430
Mailing Address - Fax:
Practice Address - Street 1:517 W CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:SPERRY
Practice Address - State:OK
Practice Address - Zip Code:74073-4248
Practice Address - Country:US
Practice Address - Phone:918-288-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker