Individual
DR. MOIRA E WRISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 E CARONDELET DR STE 275, TUCSON, AZ 85710-3529
(520) 298-0147
(520) 298-7404
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 795-4783
(520) 547-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29118
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561044
—
AZ
Enumeration date
01/13/2006
Last updated
11/08/2023
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