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Individual

PHILLIP M MOESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5322 W NORTHERN AVE, SOUTHWEST DIAGNOSTIC IMAGING LTD, GLENDALE, AZ 85301-1405
(480) 425-5063
(623) 915-6924
Mailing address
5322 W NORTHERN AVE, SOUTHWEST DIAGNOSTIC IMAGING LTD, GLENDALE, AZ 85301-1405
(480) 425-5063
(623) 915-6924

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17120
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269466
AZ
01
30WCFH509
VRL
AZ
Enumeration date
10/20/2005
Last updated
07/09/2014
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