# JULIAN ROBERT MOSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124696943
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 13918042-1204 | UT | — |
| 2084P0800X | Psychiatry Physician | R-12160 | IA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 13918042-1204 | UT | Yes |

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 08/03/2026
