Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 22427 | AZ |
NPI | 1215916580 |
---|---|
Provider Name | Dr. Drew V Moffitt |
First Address | Phoenix, AZ 85016-7646 |
Second Address | Phoenix, AZ 85016-7646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22427 | STATE MEDICAL LICENSE (01) | AZ |
AZ0848060 | BCBS ID NUMBER (01) | AZ |
F87741 | (02) |