Individual
GHAZAL MOGHADDAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1707 W SAINT MARYS RD STE 101, TUCSON, AZ 85745-2612
(520) 396-1370
(520) 396-1375
Mailing address
1707 W SAINT MARYS RD, TUCSON, AZ 85745-2608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10479
AZ
Other
Enumeration date
05/18/2024
Last updated
08/27/2024
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