Mario Moreno, ANP

NPI #1720042385 in Douglas, Arizona

Provider Information

NPI Number: 1720042385
Entity Type: Individual
Name: Mario Moreno, ANP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: ANP
Enumeration Date: Apr 12, 2006
Last Updated: Jun 12, 2013

Practice Location

Address: 1100 F AVE
City: Douglas
State: Arizona
ZIP Code: 85607-1919
Phone: (520) 364-1429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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