Individual
THOMAS H MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8740
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101252932
VA
207L00000X
Anesthesiology Physician
E-4191
AR
207P00000X
Emergency Medicine Physician
0101252932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020537
—
AZ
01
—
AZ0201750
AZ BC/BS
AZ
Enumeration date
12/01/2005
Last updated
09/25/2025
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