Rundall T Mosley
Driver in Springfield, MO. Individual provider (NPI-1).
NPI number1659928554
StatusActive
Last updated in NPPESAug 25, 2019
Details
- NPI
- 1659928554
- Entity type
- Individual (NPI-1)
- Name
- Rundall T Mosley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2019
- Last updated
- Aug 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
3850 W Edgewood StSpringfield, MO 65807-5584
Phone 417-824-5652
Mailing address
3850 W Edgewood StSpringfield, MO 65807-5584
Phone 417-824-5652
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