Individual
JOHN SCOTT MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7100
(928) 336-7508
Mailing address
1902 W 20TH LN, YUMA, AZ 85364-8847
(928) 329-9515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA2780
—
AZ
Enumeration date
07/03/2006
Last updated
07/08/2007
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