Individual
FRANK W MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4614 E SHEA BLVD, SUITE D-160, PHOENIX, AZ 85028-3070
(602) 569-9907
Mailing address
4614 E SHEA BLVD, SUITE D-160, PHOENIX, AZ 85028-3070
(602) 569-9907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52738501
—
AZ
01
—
7351020
AETNA
AZ
01
—
AZ0869320
BCBS
AZ
Enumeration date
10/17/2006
Last updated
12/29/2010
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