Individual
STEVEN W. MOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, 167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17917
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418394
—
AZ
Enumeration date
07/10/2006
Last updated
06/14/2011
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