Individual
JULIAN ROBERT MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 S CHIPETA WAY RM 1000, SALT LAKE CITY, UT 84108-1222
(801) 581-2121
Mailing address
501 S CHIPETA WAY RM 1000, SALT LAKE CITY, UT 84108-1222
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R-12160
IA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
13918042-1204
UT
Other
Enumeration date
06/17/2021
Last updated
04/05/2024
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