Individual provider · Type 1 NPI

Daniel Tyler Moss, PA-C, ATC

Surgical Physician Assistant · Fort Carson, CO

NPI number 1508276635 Active

Practice location

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604

Call (717) 309-2018 Map

Mailing address

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA17029 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1508276635

Daniel Tyler Moss, PA-C, ATC's National Provider Identifier is 1508276635, issued on Apr 29, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 24, 2025.