Alex Moss, PAC

NPI 1437232659 · on the registry since 2006 · sole proprietor

Practice

Address: 465 Washington St
Montpelier, ID 83254
Phone: (208) 847-2878
Fax: (208) 847-2340
Organisation at this address: Noall E Wolff Md
Bear Lake County Memorial Hospital
Bear Lake County Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-06-19

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