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Richard Moss Md
Medical Specialty Clinic/Center in Jasper, Indiana
NPI 1154789436

Richard Moss Md is a Medical Specialty Clinic/Center based in Jasper, IN and is specialized in Medical Specialty. Richard Moss Md practices in Jasper, IN. The NPI Number for Richard Moss Md is 1154789436 and holds a License No. 01039795A (Indiana).

The current practice location address for Richard Moss Md is 721 W 13Th St, Jasper, IN and can be reached out via phone at 812-634-6666 and via fax at 812-634-6669.

Location: 721 W 13Th St, Jasper, IN, 47546-1855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154789436
Provider Name
Richard Moss Md
Credential
Provider Entity Type
Organization
Address
721 W 13Th St, Jasper, IN, 47546-1855
Phone Number
812-634-6666
Fax Number
812-634-6669
Provider Enumeration Date
02/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207Y00000X 05 IN
institution
Provider Business Practice Location Address Details
Address
721 W 13Th St
City
Jasper
State
Indiana
Zip
47546-1855
Phone Number
812-634-6666
Fax Number
812-634-6669
person
Provider Business Mailing Address Details
Address
721 W 13Th St
City
Jasper
State
Indiana
Zip
47546-1855
Phone Number
812-634-6666
Fax Number
812-634-6669
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
01039795A (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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