Organization
ROBERT L MOSS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE MOSS MD (PHYSICIAN)
(480) 425-2158
Entity
Organization
Contact information
Practice address
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282-7612
(480) 425-2158
(480) 839-4727
Mailing address
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282-7612
(480) 425-2158
(480) 839-4727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14008
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228058 AZ
—
AZ
01
—
ZMD14008
MEDICARE
AZ
Enumeration date
06/29/2009
Last updated
08/21/2009
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