Organization
FRED R MOSS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED R MOSS MD (PRESIDENT)
(513) 419-9367
Entity
Organization
Contact information
Practice address
3233 CALIFORNIA AVE, CARMICHAEL, CA 95608-3934
(513) 419-9367
(513) 770-3393
Mailing address
3233 CALIFORNIA AVE, CARMICHAEL, CA 95608-3934
(513) 419-9367
(513) 770-3393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35059484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827672
—
OH
Enumeration date
05/05/2008
Last updated
07/31/2013
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