Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 27972 | AZ |
N | 204F00000X | Transplant Surgeon | 41512 | MN |
N | 204F00000X | Transplant Surgeon | ME131450 | FL |
NPI | 1356326813 |
---|---|
Provider Name | Dr. Adyr A Moss |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 03/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H07391 | (02) |