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MR. GARY BLAIR MOSS MD

Allergy and Immunology

Virginia Beach, Virginia

Provider NPI: 1588665137

Provider Information:
MR. GARY BLAIR MOSS MD


Practice Location:
1704 SIR WILLIAM OSLER DR SUITE 300 VIRGINIA BEACH, VA 23454 US
Tel: 757-481-4383  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
VA0101049940

Other Provider Identifiers:

IssuerNumberStateType
MAMSI348140VA01
RAILROAD MEDICARE GROUP #CF196901
INDIVIDUAL NPI#158866513701
5803071VA05
03000446108
G53716VA02
GROUP NPI#132602288001
ANTHEM322700VA01
MEDICARE GROUP #C01592VA01
OPTIMA/SENTARA56572VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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