Individual
MR. CHARLES JOSEPH MOSS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
715 N WEBER ST, COLORADO SPRINGS, CO 80903-1091
(719) 473-6115
(719) 472-2577
Mailing address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 866-6568
(719) 538-2999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
21451
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0992028-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
CRNA0841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07107485
—
CO
Enumeration date
12/05/2005
Last updated
01/29/2020
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