Provider Demographics
NPI:1437135670
Name:MOSSON, JAMES D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:MOSSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:900 GREENLEY RD
Mailing Address - Street 2:SUITE 922
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5287
Mailing Address - Country:US
Mailing Address - Phone:209-536-3738
Mailing Address - Fax:209-536-3565
Practice Address - Street 1:900 GREENLEY RD
Practice Address - Street 2:SUITE 922
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5287
Practice Address - Country:US
Practice Address - Phone:209-536-3738
Practice Address - Fax:209-536-3565
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG25381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42642Medicare UPIN