SID S MOSIMAN

PHYSICAL THERAPY AND SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.

Dr SID S MOSIMAN is a male medical professional, specializing in Physical Therapy. He graduated in 1973.

Contact

PHYSICAL THERAPY AND SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.

505 N MAIN AVE
AZTEC
NM
874101975

Tel: 5053349616

SID S MOSIMAN Information

Npi 1871667089
Pac Id 7911007745
Professional Enrollment Id I20070710000359
Last Name MOSIMAN
First Name SID
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1973
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PHYSICAL THERAPY AND SPORTS MEDICINE OF NORTHERN NEW MEXICO, INC.
Group Practice Pac Id 1951401785
Number Of Group Practice Members 2
Line 1 Street Address 505 N MAIN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AZTEC
State NM
Zip Code 874101975
Phone Number 5053349616
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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