Musso, Tamara
Musso, Tamara is an sole proprietor health care provider with primary practice located at 10720 E Southern Ave Suite 116, Mesa AZ 85209-3810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Musso, Tamara can be contacted via phone (480) 365-0050.Contact Information
Primary practice address
10720 E Southern Ave Suite 116
Mesa AZ 85209-3810
Phone: (480) 365-0050
Fax: (480) 365-0049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37012 | Arizona |
Profile Details
| NPI number | 1740481811 |
|---|---|
| LBN Legal business name | Musso, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Jan 17th, 2022 - about 4 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 | 1740481811 | NPPES |
| Arizona | MEDICAID | 250599 |
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