Individual
DR. MEL S MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6701 N 19TH AVE, PHOENIX, AZ 85015-1102
(602) 242-6888
(602) 242-4654
Mailing address
10226 E STONEY VISTA DR, SUN LAKES, AZ 85248-7643
(480) 802-4120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
162
AZ
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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