Individual
MORGAN MARIE LOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Mailing address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT-30662
AZ
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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