Organization
MEDSITE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSTAFA I HAZIN (PRACTICE DIRECTOR/PROVIDER)
(602) 999-3637
Entity
Organization
Contact information
Practice address
1501 E ORANGEWOOD AVE, PHOENIX, AZ 85020-5130
(602) 535-8200
Mailing address
1501 E ORANGEWOOD AVE, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WC0400X
Case Management Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2020
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