Name: | Cody James Moseman |
Specialization: | Pediatrics |
Gender: | Male |
Location: | 190 E Bannock St, Boise, Idaho, 83712-6241 |
Phone: | 208-381-2490 |
NPI Number: | 1770220956 |
NPI Enumeration Date: | 18 May, 2022 |
NPI Last Update On: | 18 May, 2022 |
Specialization | License Number | State | Status | |
Pediatrics | 8151148 | Idaho | Primary |
Address: | 2020 S Luxury Ln Apt D205, Meridian, Idaho |
Zip: | 83642-4310 |
Phone Number: | 505-363-7107 |
Fax Number: | -- |