Individual
STEVEN E. MOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5678
(602) 344-1499
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4307
AZ
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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