OrganizationActive
Richard Moss MD
NPI 1154789436 · Medical Specialty Clinic/Center · Jasper, IN
Provider details
- NPI number
- 1154789436
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Yucatonis, Office Manager(812) 634-6666
- License
- 01039795A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
721 W 13th St
Suite 208
Jasper, IN 47546-1855
Phone: (812) 634-6666
Fax: (812) 634-6669
Approximate (ZIP-level) locationGet directions
Mailing address
721 W 13th St
Jasper, IN 47546-1855
Registry dates
- Enumerated
- 2016-02-02
- Last updated
- 2016-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.