Individual
JUSTIN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5177
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102207468
VA
208D00000X
General Practice Physician
0102207468
VA
Other
Enumeration date
03/15/2019
Last updated
08/06/2025
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