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Individual

STANLEY WARREN MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 S EAGLE RD, STE 1201, MERIDIAN, ID 83642-6351
(208) 855-9600
(208) 855-9603
Mailing address
520 S EAGLE RD, STE 1201, MERIDIAN, ID 83642-6351
(208) 855-9600
(208) 855-9603

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M4403
ID

Other

Enumeration date
06/06/2006
Last updated
01/23/2014
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