Individual
STEPHANIE KATHERINE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 W 14TH ST, PUEBLO, CO 81003-2705
(719) 595-7585
(719) 595-7589
Mailing address
311 W 14TH ST, PUEBLO, CO 81003-2705
(719) 595-7585
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0058648
CO
Other
Enumeration date
04/27/2015
Last updated
01/15/2026
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