Organization
NORMAN W MOSS MD, INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MEYERS (BILLING MANAGER)
(509) 469-1903
Entity
Organization
Contact information
Practice address
215 S 11TH AVE STE D, YAKIMA, WA 98902-3253
(509) 248-6192
Mailing address
215 S 11TH AVE STE D, YAKIMA, WA 98902-3253
(509) 248-6192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00008347
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7107857
—
WA
01
—
CJ3618
RAILROAD MEDICARE PIN
WA
Enumeration date
02/13/2008
Last updated
08/14/2009
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