Individual
DR. SOUNDOS K MOUALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4886
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301093355
MI
207RI0011X
Interventional Cardiology Physician
Primary
48512
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48512
ARIZONA LICENSE
AZ
Enumeration date
08/28/2006
Last updated
02/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us