Individual
MOSS JACOB FENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1266 ESCALANTE DR STE 301, DURANGO, CO 81303-8934
(970) 828-2200
(970) 828-2201
Mailing address
1266 ESCALANTE DR STE 301, DURANGO, CO 81303-8934
(970) 828-2200
(970) 828-2201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
50343
CO
207W00000X
Ophthalmology Physician
MD2012-0618
NM
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0050343
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD2012-0618
NM
Other
Enumeration date
08/23/2006
Last updated
01/24/2025
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