Jeffrey L Moffat MD Pllc

NPI #1710125000 in Lakeside, Arizona

Provider Information

NPI Number: 1710125000
Entity Type: Organization
Organization Name: Jeffrey L Moffat MD Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jan 26, 2009
Last Updated: Jan 26, 2009

Practice Location

Address: 5448 S WHITE MOUNTAIN ROAD
Address 2: SUITE 270
City: Lakeside
State: Arizona
ZIP Code: 85929
Phone: (928) 532-5838

Authorized Official

Name: JEFFREY L MOFFAT, MD
Title: PRESIDENT
Phone: (928) 537-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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