Organization
JAMIE M MOENSTER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE MICHELLE MOENSTER D.O. (PRIMARY SHAREHOLDER)
(636) 541-1584
Entity
Organization
Contact information
Practice address
150 S CORONADO DR STE 110, SIERRA VISTA, AZ 85635-6352
(520) 458-1787
Mailing address
150 S CORONADO DR STE 110, SIERRA VISTA, AZ 85635-6352
(520) 458-1787
(520) 458-1519
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
006018
AZ
Other
Enumeration date
10/22/2012
Last updated
07/26/2023
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