Individual
DR. VICTORIA ROSE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
(719) 600-1791
(719) 377-6832
Mailing address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
(729) 600-1791
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01082823A
IN
207N00000X
Dermatology Physician
53961-020
WI
207N00000X
Dermatology Physician
Primary
DR.0072440
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0072440
LICENSE
CO
01
—
FM4062802
DEA
CO
Enumeration date
12/12/2008
Last updated
01/26/2026
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