Dr Richard Lee Moss, MD | |
50 N Medical Dr, Salt Lake City, UT 84132-1100 | |
(801) 587-6340 | |
(801) 587-6346 |
Full Name | Dr Richard Lee Moss |
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Gender | Male |
Speciality | Dermatology |
Location | 50 N Medical Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952472292 | NPI | - | NPPES |
070013782 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 161345-1205 (Utah) | Secondary |
207N00000X | Dermatology | 161345-1205 (Utah) | Primary |
Entity Name | Dermatology Division University Of Utah Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922096114 PECOS PAC ID: 9638073497 Enrollment ID: O20031122000107 |
Mailing Address | Practice Location Address |
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Dr Richard Lee Moss, MD Po Box 3208, Salt Lake City, UT 84110-3208 Ph: (801) 587-6340 | Dr Richard Lee Moss, MD 50 N Medical Dr, Salt Lake City, UT 84132-1100 Ph: (801) 587-6340 |
Caitlin Marie Bolender, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132 Phone: 801-581-5509 | |
Dr. Lana Ngoc Pho, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6340 Fax: 801-587-6346 | |
Justin F Thulin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124 Phone: 801-266-7325 Fax: 801-281-2263 | |
Bahman Sotoodian, MD, FRCP(C), FAAD Dermatology Medicare: Medicare Enrolled Practice Location: 440 W 200 S Ste 250, Salt Lake City, UT 84101 Phone: 801-595-1600 | |
Amber R. Jimenez, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 4a330, Salt Lake City, UT 84132 Phone: 015-816-4658 | |
Dr. Douglas L Powell, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2955 | |
David A Wada, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132 Phone: 801-581-2955 |