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Individual

MR. AARON K MOULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3204 W QUAIL TRACK DR, PHOENIX, AZ 85083-5827
(801) 358-5051
Mailing address
3204 W QUAIL TRACK DR, PHOENIX, AZ 85083-5827
(801) 358-5051

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6211950-3102
UT
163W00000X
Registered Nurse
MSL6211950-3102UT
AZ
163W00000X
Registered Nurse
RN193674
AZ
163W00000X
Registered Nurse
RN9317380
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1002
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
894497
AZ
Enumeration date
05/13/2013
Last updated
09/06/2016
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