Organization
JEFFREY L MOFFAT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L MOFFAT MD (PRESIDENT)
(928) 537-2480
Entity
Organization
Contact information
Practice address
5448 S WHITE MOUNTAIN ROAD, SUITE 270, LAKESIDE, AZ 85929
(928) 532-5838
(928) 532-6670
Mailing address
PO BOX 10, OVERGAARD, AZ 85933-0010
(928) 535-6667
(928) 535-5561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36459
AZ
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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