Moeser, Phillip M
Moeser, Phillip M is an individual health care provider with primary practice located at 5322 W Northern Ave Southwest Diagnostic Imaging Ltd, Glendale AZ 85301-1405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moeser, Phillip M can be contacted via phone (480) 425-5063.Contact Information
Primary practice address
5322 W Northern Ave Southwest Diagnostic Imaging Ltd
Glendale AZ 85301-1405
Phone: (480) 425-5063
Fax: (623) 915-6924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 17120 | Arizona |
Profile Details
| NPI number | 1013906072 |
|---|---|
| LBN Legal business name | Moeser, Phillip M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 9th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013906072 | NPPES |
| Arizona | MEDICAID | 269466 | |
| Arizona | Other | 30WCFH509 |
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