Individual
DR. MALISA JOSEPHINE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2207
(606) 218-7507
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2207
(606) 218-7507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04723
KY
207V00000X
Obstetrics & Gynecology Physician
110662
AK
207V00000X
Obstetrics & Gynecology Physician
5101019746
MI
Other
Enumeration date
06/27/2012
Last updated
07/08/2022
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