NPI 1285955039

Tyler a Moss, DO

Practitioner Dermatology Physician Surprise, AZ

Practice location

Address: 14239 W Bell Rd STE 101, Surprise, AZ 85374
Phone: (623) 544-7755
Fax: (623) 544-8665
Mailing address: 14239 W Bell Rd STE 101, Surprise, AZ 85374-2470

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 007446 (AZ)

Other Dermatology providers in Arizona →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1285955039
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2010
Record last updated: 8 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.