Individual
MS. MEREDITH A MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2802 N ALVERNON WAY STE 200, TUCSON, AZ 85712-1500
(520) 326-0850
(520) 326-0849
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(575) 388-3373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2008-0068
NM
363A00000X
Physician Assistant
PA880
KY
363AM0700X
Medical Physician Assistant
714
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30179521
—
NM
Enumeration date
09/29/2005
Last updated
01/18/2017
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