Individual
DR. JUAN E MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2324 N 160TH AVE, GOODYEAR, AZ 85395-7598
(623) 832-5702
Mailing address
2324 N 160TH AVE, GOODYEAR, AZ 85395-7598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31970
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
31970
AZ
207RP1001X
Pulmonary Disease Physician
31970
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308625
—
SC
05
—
861981-01
—
AZ
Enumeration date
04/27/2006
Last updated
09/02/2015
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