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Jacob Moss, M.D., J.D
NPI 1205179751 · on the registry since 2013
Practice
- Address
- 335 E Main St Ste 1
Saint Anthony, ID 83445 - Phone
- (208) 356-4900
- Fax
- (208) 624-4116
- Organisation at this address
- Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Additional practice sites
- 3724 Woodking Dr Ste 1, Idaho Falls, ID
- 72 S 1st E Ste 101, Rexburg, ID
Registry record
- Primary taxonomy
- General Practice Physician
208D00000X
- Also registered as
- General Practice Physician
- Licence states on file
- ID, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho