Individual
STEPHEN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
601 S RIVERVIEW DR, BIXBY, OK 74008-4938
(918) 366-1709
Mailing address
601 S RIVERVIEW DR, BIXBY, OK 74008-4938
(918) 366-1709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
716
OK
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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