Individual provider · Type 1 NPI
Debra Lynne Moss, MD
General Practice Physician · St. Louis, MO
NPI number
1437474202
Active
Practice location
12929 Ballantine Ct
St. Louis, MO 63146-3701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 113637 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1437474202
Debra Lynne Moss, MD's National Provider Identifier is 1437474202, issued on Apr 5, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 5, 2010.