Individual
JACOB MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
4001 N 3RD ST STE 290, PHOENIX, AZ 85012-2071
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
68896
AZ
Other
Enumeration date
04/02/2020
Last updated
05/27/2025
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