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NPI Code Detail

MEDICARE: DR. DREW V MOFFITT MD

MEDICARE:  DR. DREW V MOFFITT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VE0102XReproductive Endocrinology Physician22427AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0848060OTHERAZBCBS ID NUMBER
222427OTHERAZSTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1215916580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DREW V MOFFITT MD
Provider Business Mailing Address
First Line : 1701 E THOMAS RD
Second Line : BUILDING 1 SUITE 101
City : PHOENIX
State : AZ
Zip : 85016-7646
Country : US
Telephone Number : 602-343-2767
Fax Number : 602-343-2766
Provider Business Practice Location Address
First Line : 1701 E THOMAS RD
Second Line : BUILDING 1 SUITE 101
City : PHOENIX
State : AZ
Zip : 85016-7646
Country : US
Telephone Number : 602-343-2767
Fax Number : 602-343-2766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DREW V MOFFITT MD” Practice Location

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