Individual
DR. TAMARA MUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 85209-3810
(480) 365-0050
(480) 365-0049
Mailing address
10720 E SOUTHERN AVE, SUITE 116, MESA, AZ 85209-3810
(480) 365-0050
(480) 365-0049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250599
—
AZ
Enumeration date
05/29/2007
Last updated
01/17/2022
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