Individual
DR. MARK MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1355 RICHMOND RD, STAUNTON, VA 24402-4000
(540) 332-2125
Mailing address
1355 RICHMOND RD, STAUNTON, VA 24402-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101840386
VA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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