Individual
DR. JEFFREY L MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S WHITE MOUNTAIN RD STE 300, SHOW LOW, AZ 85901-7115
(928) 532-5838
(928) 532-6670
Mailing address
1500 S WHITE MOUNTAIN RD STE 300, SHOW LOW, AZ 85901-7115
(928) 532-5838
(928) 532-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18705
AZ
207Q00000X
Family Medicine Physician
Primary
36459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286387
—
AZ
Enumeration date
04/26/2006
Last updated
03/30/2023
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