| NPI | 1255043915 |
|---|---|
| Doing Business As | MOOSALLY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT MOOSALLY Owner/Physician 330-460-5514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |