Individual
STEVEN B MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD, SUITE 110, SURPRISE, AZ 85374-4799
(623) 374-7774
Mailing address
40822 N HARBOUR TOWN WAY, ANTHEM, AZ 85086-1819
(401) 480-9077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4818
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004001
—
RI
Enumeration date
03/17/2006
Last updated
01/08/2015
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