Organization
ANESTHESIA MEDICAL PRACTITIONERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP MARTIN MOSS MD (VP)
(623) 584-9985
Entity
Organization
Contact information
Practice address
5321 W MISTY WILLOW LN, GLENDALE, AZ 85310-3732
(623) 584-9985
(623) 584-9986
Mailing address
5321 W MISTY WILLOW LN, GLENDALE, AZ 85310-3732
(623) 584-9985
(623) 584-9986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17628
AZ
Other
Enumeration date
03/25/2018
Last updated
03/25/2018
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