Moss, Leonard Michael

Moss, Leonard Michael is an individual health care provider with primary practice located at 294 W State Route 89A , Cottonwood AZ 86326-3754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Moss, Leonard Michael can be contacted via phone (928) 639-6382.

Contact Information

Primary practice address
294 W State Route 89A Cottonwood AZ 86326-3754
Fax: (928) 639-5570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 35331 Arizona

Profile Details

NPI number 1417907759
LBN Legal business name Moss, Leonard Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417907759 NPPES
Arizona MEDICAID 094700

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