Individual
DR. TYLER A MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14239 W BELL RD STE 101, SURPRISE, AZ 85374
(623) 544-7755
(623) 544-8665
Mailing address
14239 W BELL RD STE 101, SURPRISE, AZ 85374-2470
(623) 544-7755
(623) 544-8665
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
007446
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2010
Last updated
04/08/2020
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