Individual
MR. DANIEL LEE MOFFAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 717-7553
Mailing address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 717-7553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1466
AZ
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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