Individual
MATTHEW N MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
8405 N PIMA CENTER PKWY STE 101, SCOTTSDALE, AZ 85258-4669
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001356
IA
363A00000X
Physician Assistant
Primary
9712
AZ
363AM0700X
Medical Physician Assistant
001356
IA
363AS0400X
Surgical Physician Assistant
001356
IA
363AS0400X
Surgical Physician Assistant
9712
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417246
—
IA
01
—
35349
WELLMARK
IA
05
—
9098947
—
IA
01
—
P00071605
RR MEDICARE
IA
Enumeration date
05/23/2006
Last updated
11/28/2023
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