Individual
JENNIFER MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
46662
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85626341
—
CO
01
—
P00711916
RAILROAD MEDICARE
CO
Enumeration date
05/26/2008
Last updated
03/17/2026
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