Most Relevant Information
Provider Data
| NPI Number: | 1003182395 |
| Provider Name: | WILLIAM JAMES MOSS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2012 |
| Last Updated: | 09/03/2015 |
Provider Practice Location
200 W ARBOR DR
SAN DIEGO
CA
921039000
Practice Location Phone/Fax
| Phone: | 5083954189 |
| Fax: | 5555555555 |
Provider Mailing Location
622 PHEASANT HL
ACTON
MA
017181009
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |