# MOSC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295015212
- **Authorized official:** DR. TAMIR MOSHARRAFA M.D. (MANAGING PARTNER)
- **Authorized official phone:** (602) 996-4713

## Contact information

- **Practice address:** 4611 E SHEA BLVD, SUITE 100, PHOENIX, AZ 85028-4254
- **Practice address phone:** (602) 996-4713
- **Practice address fax:** (602) 795-6766
- **Mailing address:** 4611 E SHEA BLVD, SUITE 100, PHOENIX, AZ 85028-4254
- **Mailing address phone:** (602) 996-4713
- **Mailing address fax:** (602) 795-6766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | AZ | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 08/13/2012
