Individual
MOGES KASSA CHEKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6315 W WARNER ST, PHOENIX, AZ 85043-0139
(312) 619-7306
Mailing address
6315 W WARNER ST, PHOENIX, AZ 85043-0139
(312) 619-7306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9574
AZ
Other
Enumeration date
10/05/2023
Last updated
12/21/2023
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