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Individual

CHASE MOFFAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2919 S ELLSWORTH RD STE 124, MESA, AZ 85212-2167
(480) 633-7944
(480) 633-0255
Mailing address
PO BOX 9058, MESA, AZ 85214-9058
(480) 564-4904

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006756
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001022
AZ

Other

Enumeration date
07/15/2016
Last updated
03/17/2022
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