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Organization

MOSC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMIR MOSHARRAFA M.D. (MANAGING PARTNER)
(602) 996-4713
Entity
Organization

Contact information

Practice address
4611 E SHEA BLVD, SUITE 100, PHOENIX, AZ 85028-4254
(602) 996-4713
(602) 795-6766
Mailing address
4611 E SHEA BLVD, SUITE 100, PHOENIX, AZ 85028-4254
(602) 996-4713
(602) 795-6766

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AZ

Other

Enumeration date
08/22/2011
Last updated
08/13/2012
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