Thomas Glendon Moody
Ophthalmologist
2055 E Southern Ave Suite A
Tempe
, Arizona 85282-7507
Thomas Glendon Moody
Ophthalmologist
2055 E Southern Ave Suite A
Tempe
, Arizona 85282-7507
(480) 491-7555
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Thomas Glendon Moody
- 2055 E Southern Ave Suite A
- Tempe, AZ
- Zip : 85282-7507
- Fax : (480) 491-7555
- Phone : (480) 491-7676
Second Address
- Thomas Glendon Moody
- 2055 E Southern Ave Suite A
- Tempe, AZ
- Zip : 85282-7507
- Fax : (480) 491-7555
- Phone : (480) 491-7676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 09470 | AZ |
National Provider Identifier
| NPI | 1003815705 |
|---|---|
| Provider Name | Thomas Glendon Moody |
| First Address | Tempe, AZ 85282-7507 |
| Second Address | Tempe, AZ 85282-7507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D00006 | (02) | AZ |
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.