Dr. Louis A Musso
Surgeon Vascular Surgeon
1520 E Hammer Ln Suite 104
Fort Mohave
, Arizona 86426-6664
Dr. Louis A Musso
Surgeon Vascular Surgeon
1520 E Hammer Ln Suite 104
Fort Mohave
, Arizona 86426-6664
(928) 768-1209
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Louis A Musso
- 1520 E Hammer Ln Ste. 104
- Fort Mohave, AZ
- Zip : 86426-6664
- Fax : (928) 768-1209
- Phone : (928) 768-1200
Second Address
- Dr. Louis A Musso
- 1520 E Hammer Ln Suite 104
- Fort Mohave, AZ
- Zip : 86426-6664
- Fax : (928) 768-1209
- Phone : (928) 768-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 49240 | WI |
| N | 208600000X | Surgeon | 49240 | WI |
| Y | 208200000X | Surgeon | 5566 | AZ |
| Y | 208600000X | Surgeon | 5566 | AZ |
| N | 2086S0129X | Vascular Surgeon | 49240 | WI |
| N | 2086S0129X | Vascular Surgeon | 5566 | AZ |
National Provider Identifier
| NPI | 1073512976 |
|---|---|
| Provider Name | Dr. Louis A Musso |
| First Address | Fort Mohave, AZ 86426-6664 |
| Second Address | Fort Mohave, AZ 86426-6664 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 26/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 089437 | (05) | AZ |
| H98274 | (02) | WI |
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.