DERRICK MOSS, ATC

Physician Assistant

Active Individual
NPI: 1932598455

Practice Address

208 8TH ST SW
Orange City, IA 51041

Phone: (712) 707-7287

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X No 001063 (IA)
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1932598455 is the National Provider Identifier for DERRICK MOSS, ATC, a Physician Assistant provider located in Orange City, IA. This NPI was enumerated on January 21, 2015.
DERRICK MOSS, ATC practices at 208 8TH ST SW, Orange City, IA 51041.

Quick Facts

NPI
1932598455
Type
Individual
Enumerated
Jan 21, 2015
Last Updated
Apr 18, 2022

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