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Individual

RODNEY MOFFETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5039
Mailing address
3255 E ELWOOD ST, #110, PHOENIX, AZ 85034-7256
(602) 470-5034
(602) 470-5064

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101162
AZ

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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