Individual
BRADFORD L MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 W HWY 50, SALIDA, CO 81201-2238
(719) 530-2048
(719) 530-2055
Mailing address
550 W US HIGHWAY 50, SALIDA, CO 81201-2238
(719) 530-2000
(719) 530-2055
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
50948
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609050
—
OH
Enumeration date
07/24/2006
Last updated
11/03/2017
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