Individual
DR. WILLIAM EDWARD MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14618 S 43RD ST, PHOENIX, AZ 85044-6197
(480) 699-7192
Mailing address
14618 S 43RD ST, PHOENIX, AZ 85044-6197
(480) 699-7192
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13088
AZ
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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