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JEFFREY L MOFFAT MD PLLC NPI 1710125000


NPI Information

NPI: 1710125000
Provider Name: JEFFREY L MOFFAT MD PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5448 S WHITE MOUNTAIN ROAD
SUITE 270
LAKESIDE, AZ
ZIP 85929
Phone: (928) 532-5838
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JEFFREY L MOFFAT MD PLLC is a family medicine in Lakeside, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JEFFREY L MOFFAT MD PLLC NPI is 1710125000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5448 S WHITE MOUNTAIN ROAD
SUITE 270
LAKESIDE, AZ
ZIP 85929
Phone: (928) 532-5838
Fax: (928) 532-6670

The provider's authorized official is Jeffrey L Moffat .
The authorized official title is President and has the following contact phone number (928) 537-2480.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine36459ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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