Individual
DR. LOUIS A MUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1520 E HAMMER LN, SUITE 104, FORT MOHAVE, AZ 86426-6664
(928) 768-1200
(928) 768-1209
Mailing address
1520 E HAMMER LN, STE. 104, FORT MOHAVE, AZ 86426-6664
(928) 768-1200
(928) 768-1209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49240
WI
208600000X
Surgery Physician
Primary
5566
AZ
2086S0129X
Vascular Surgery Physician
49240
WI
2086S0129X
Vascular Surgery Physician
5566
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089437
—
AZ
Enumeration date
07/21/2005
Last updated
04/05/2026
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