Individual
DR. LEONARD MICHAEL MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 W STATE ROUTE 89A, COTTONWOOD, AZ 86326-3754
(928) 639-6382
(928) 639-5570
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
35331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094700
—
AZ
Enumeration date
05/10/2006
Last updated
03/15/2017
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