Individual
MR. PHILLIP M MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6245 N 16TH ST, PHOENIX, AZ 85016-1706
(602) 309-4709
(602) 419-2951
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 267-8919
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277972
—
AZ
Enumeration date
03/03/2006
Last updated
03/20/2017
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