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Organization

ARIZONA ENDOCRINOLOGY & DIABETES CLINIC INC

Active
Other names
Arizona Endocrinology & Diabetes Clinic Inc
Organization subpart
No

Provider details

NPI number
Authorized official
ABDULLAH HANNA-MOUSSA MD (OWNER)
(623) 466-3890
Entity
Organization

Contact information

Practice address
18301 N 79TH AVE STE C136, GLENDALE, AZ 85308-8471
(623) 466-3890
Mailing address
18301 N 79TH AVE STE C136, GLENDALE, AZ 85308-8471
(623) 466-3890

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
41644
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
451541
AZ
Enumeration date
01/21/2018
Last updated
01/21/2018
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