MR. Benjamin Moss, PA-C

NPI #1134453418 in Grants Pass, Oregon

Provider Information

NPI Number: 1134453418
Entity Type: Individual
Name: MR. Benjamin Moss, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 20, 2009
Last Updated: Nov 12, 2019

Practice Location

Address: 495 SW RAMSEY AVE
City: Grants Pass
State: Oregon
ZIP Code: 97527-5681
Phone: (541) 476-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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