Individual
MICHAEL MAURICE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-6717
(812) 882-8620
Mailing address
PO BOX 1466, VINCENNES, IN 47591-7466
(812) 882-6717
(812) 882-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01036367
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327340
—
IN
Enumeration date
08/17/2006
Last updated
10/07/2010
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