IndividualActive
Richard Moss, M.D.
NPI 1326097619 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Jasper, IN
Provider details
- NPI number
- 1326097619
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01039795 (IN)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 01039795 (IN)
Allopathic & Osteopathic Physicians
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
- 2006-05-06
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.