Individual
LEE SCOTT MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7738
Mailing address
PO BOX 58049, SALT LAKE CITY, UT 84158-0049
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217284-4405
UT
Other
Enumeration date
10/13/2006
Last updated
08/01/2007
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