Most Relevant Information
Provider Data
| NPI Number: | 1003230699 |
| Provider Name: | GREG MOSS |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2014 |
| Last Updated: | 02/18/2014 |
Provider Practice Location
934 S MAIN ST
LAYTON
UT
840417135
Practice Location Phone/Fax
| Phone: | 8017737060 |
| Fax: |
Provider Mailing Location
934 S MAIN ST
LAYTON
UT
840417135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |