Individual
ERIC FLETCHER MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W COUGAR BLVD STE 102, PROVO, UT 84604-3334
(801) 357-8586
(801) 357-7786
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
11719001-1205
UT
Other
Enumeration date
04/16/2016
Last updated
05/04/2020
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