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Individual
MR. BURTON ALAN MOSS
Active
Individual
MR. BURTON ALAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101015046
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285634253
INDIVIDUAL NPI#
VA
01
—
1326022880
GROUP NPI#
VA
01
—
C01592
MEDICARE GROUP #
VA
01
—
CN5602
RAILROAD MEDICARE GROUP #
VA
Enumeration date
07/29/2005
Last updated
01/14/2008
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