Individual
DR. JONATHAN DAVID MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HEALTH CENTER DR, BRIDGEWATER, VA 22812
(540) 828-2634
Mailing address
100 HEALTH CENTER DR, BRIDGEWATER, VA 22812-9511
(540) 828-2634
(540) 828-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042395
VA
207Q00000X
Family Medicine Physician
D0075192
MD
Other
Enumeration date
06/09/2006
Last updated
12/17/2018
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