Individual
DR. BRIAN HARRIS MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036130220
IL
207X00000X
Orthopaedic Surgery Physician
20A11514
CA
207X00000X
Orthopaedic Surgery Physician
5101016864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615125
BCBS OF IL
IL
Enumeration date
04/19/2007
Last updated
07/10/2024
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