Provider Demographics
NPI:1518924943
Name:MOSS, STEVEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:MOSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 E SECOND ST.,
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1198
Mailing Address - Country:US
Mailing Address - Phone:775-322-7811
Mailing Address - Fax:775-328-1613
Practice Address - Street 1:1500 E SECOND ST
Practice Address - Street 2:SUITE 300
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1198
Practice Address - Country:US
Practice Address - Phone:775-322-7811
Practice Address - Fax:775-328-1613
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV4374208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C35401Medicare UPIN
34WCGXL03Medicare ID - Type Unspecified