Individual
EDUARDO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2302 N 75TH AVE, PHOENIX, AZ 85035-1216
(623) 849-7500
(623) 849-6758
Mailing address
2302 N 75TH AVE, PHOENIX, AZ 85035-1216
(623) 849-7500
(623) 849-6758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
286010-1
NY
207Q00000X
Family Medicine Physician
Primary
56024
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
05
—
465158
—
AZ
Enumeration date
04/01/2013
Last updated
06/29/2021
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