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Individual

DR. ALISHA MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 856-5570
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 856-5570

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.136804
OH
208000000X
Pediatrics Physician
Primary
67596
AZ
208M00000X
Hospitalist Physician
35.136804
OH
208M00000X
Hospitalist Physician
67596
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0359799
OH
Enumeration date
03/23/2016
Last updated
05/09/2025
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