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Organization
STEPHEN J MOFFETT OD A PROFESSIONAL
Active
Organization
STEPHEN J MOFFETT OD A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J MOFFETT OD A PROFESSIONAL (PRESIDENT)
(619) 435-6221
Entity
Organization
Contact information
Practice address
950 ORANGE AVE, CORONADO, CA 92118-2610
(619) 435-6221
(619) 435-6289
Mailing address
950 ORANGE AVE, CORONADO, CA 92118-2610
(619) 435-6221
(619) 435-6289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11550T
CA
Other
Enumeration date
11/02/2007
Last updated
11/03/2024
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