Individual
MARK MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
(480) 890-5920
Mailing address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14795
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240325
—
AZ
Enumeration date
01/25/2006
Last updated
10/14/2024
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