Individual
DR. CHRISTINE R MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5150 E. GLENN ST., TUSCON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Mailing address
5150 E. GLENN ST., TUSCON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
007132
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R2132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405518
—
AZ
Enumeration date
06/26/2012
Last updated
09/15/2020
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