Individual
LESLIE ANN MOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
10290 N 92ND ST STE 200, SCOTTSDALE, AZ 85258-4528
(480) 905-2015
(480) 716-4347
Mailing address
3650 PIPER STREET STE A, ANCHORAGE, AK 99508-4692
(907) 339-9455
(907) 339-9445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11053
AZ
Other
Enumeration date
08/30/2018
Last updated
08/13/2025
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