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Individual

THOMAS MOFFO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(623) 848-5000
Mailing address
5424 E HASHKNIFE RD, PHOENIX, AZ 85054-7158
(480) 699-4671
(480) 699-4672

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17768
AZ

Other

Enumeration date
09/16/2008
Last updated
04/06/2009
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