Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Corporate Health |
261QC1800X |
| NPI # | 1801323001 |
||||
| LBN Legal business name | MELISSA K MOSS MD LLC | ||||
| Authorized official | MELISSA MOSS - (PHYSICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/18/2017 | ||||
| Last updated | 10/03/2019 - About 7 years ago | ||||
| Identifiers |
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