| Doctor Name: | BENJAMIN ABRAM MOSES |
| NPI Number: | 1053519942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01067169A |
| Business Practice Address: | 126 Missouri Ave Fort Leonard Wood, MO - 654738952 |
| Business Phone Number: | 5738425003 |
| Business Fax Number: | |
| Mailing Address: | 6131 Wood Pass, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782491933 |
| Phone Number: | 2107223622 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 09/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01067169A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |