Individual
THOMAS GLENDON MOODY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 E SOUTHERN AVE, SUITE A, TEMPE, AZ 85282-7507
(480) 491-7676
(480) 491-7555
Mailing address
2055 E SOUTHERN AVE, SUITE A, TEMPE, AZ 85282-7507
(480) 491-7676
(480) 491-7555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09470
AZ
Other
Enumeration date
07/15/2005
Last updated
07/08/2007
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