Dr. Tyler A Moss, D.O.
Dermatology in Surprise, AZ. Individual provider (NPI-1).
NPI number1285955039
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1285955039
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler A Moss
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2010
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 007446 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
14239 W Bell Rd Ste 101Surprise, AZ 85374
Phone 623-544-7755 · Fax 623-544-8665
Mailing address
14239 W Bell Rd Ste 101Surprise, AZ 85374-2470
Phone 623-544-7755 · Fax 623-544-8665
Other practice locations
4301 Wilson St.
Reynolds Army Community Hospital
Fort Sill, OK 73503
Reynolds Army Community Hospital
Fort Sill, OK 73503
Phone 580-558-2372 · Fax 580-558-2314
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