ALEX C MOSS

MONTPELIER, ID
NPI1437232659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA516)
Enumeration Date2006-10-23
Last Update Date2008-06-19
Business Address
-- ALEX C MOSS PAC
465 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-2878
Mailing Address
-- ALEX C MOSS PAC
465 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-2878
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