Individual
DEAN STEPHEN MOUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4915 E BASELINE RD, STE 119, GILBERT, AZ 85234-2965
(480) 832-0480
(480) 832-0490
Mailing address
4915 E BASELINE RD STE 119, GILBERT, AZ 85234-2969
(480) 832-0480
(480) 832-0490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26849
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509630
—
AZ
Enumeration date
01/02/2006
Last updated
11/07/2017
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