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Organization

BROADWAY MONITORING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MOSHIRI MD (MANAGER)
(602) 441-3573
Entity
Organization

Contact information

Practice address
2340 W PARKSIDE LN STE H107, PHOENIX, AZ 85027-1274
(602) 441-3573
Mailing address
21001 N TATUM BLVD STE 1630-606, PHOENIX, AZ 85050-4242
(602) 354-5310
(480) 887-8041

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
02/05/2019
Last updated
02/24/2022
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