Moss Chiropractic | |
2201 N 30th St Ste C, Tacoma, WA 98403-3361 | |
(253) 254-5737 | |
Not Available |
Full Name | Moss Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 2201 N 30th St Ste C, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518644277 | NPI | - | NPPES |
1083112957 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Cody Marc Moss |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083112957 PECOS PAC ID: 0749613719 Enrollment ID: I20230823000150 |
Mailing Address | Practice Location Address |
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Moss Chiropractic 2201 N 30th St Ste C, Tacoma, WA 98403-3361 Ph: (971) 284-2863 | Moss Chiropractic 2201 N 30th St Ste C, Tacoma, WA 98403-3361 Ph: (253) 254-5737 |
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