Individual
RICHARD MOGULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
3640 E LOUISE DR, PHOENIX, AZ 85050-8312
(303) 818-7585
Mailing address
3640 E LOUISE DR, PHOENIX, AZ 85050-8312
(303) 818-7585
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P00090800
AZ
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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