Dr. Bruce Moffatt
Neurosurgeon
2525 E Arizona Biltmore Cir Ste D142
Phoenix
, Arizona 85016
Dr. Bruce Moffatt
Neurosurgeon
2525 E Arizona Biltmore Cir Ste D142
Phoenix
, Arizona 85016
(602) 256-0795
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Bruce Moffatt
- 2525 E Arizona Biltmore Cir Ste D142
- Phoenix, AZ
- Zip : 85016-2147
- Fax : (602) 256-0795
- Phone : (602) 385-0430
Second Address
- Dr. Bruce Moffatt
- 2525 E Arizona Biltmore Cir Ste D142
- Phoenix, AZ
- Zip : 85016
- Fax : (602) 256-0795
- Phone : (602) 385-0430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 47834 | AZ |
| N | 207T00000X | Neurosurgeon | ME91980 | FL |
National Provider Identifier
| NPI | 1124033709 |
|---|---|
| Provider Name | Dr. Bruce Moffatt |
| First Address | Phoenix, AZ 85016-2147 |
| Second Address | Phoenix, AZ 85016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 12/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F22991 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.