Provider Demographics
NPI:1366414716
Name:MOSEMAN, CHER P (MD)
Entity type:Individual
Prefix:
First Name:CHER
Middle Name:P
Last Name:MOSEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4105 BRIARGATE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3484
Practice Address - Country:US
Practice Address - Phone:719-599-4692
Practice Address - Fax:719-260-6250
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01054075A207V00000X
CO45604207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55672353Medicaid
COP00808322OtherRAILROAD MEDICARE