Sam Moussa is a Specialist in Tucson, Arizona. Sam Moussa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sam Moussa is 1396730180. The last update date is 2007-07-08.
Sam Moussa's current location address is 2585 N Wyatt Dr, Tucson, Arizona. You can contact this provider via phone number 5207212728 and fax number 5207210179. The mailing address for Sam Moussa is 2585 N Wyatt Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Moussa |
|---|---|
| Address | 2585 N Wyatt Dr, Tucson, Arizona |
| Phone Number | 5207212728 |
| Fax Number | 5207210179 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396730180 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2585 N Wyatt Dr |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857126104 |
| Phone Number | 5207212728 |
| Fax Number | 5207210179 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 19323 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 295198 | AZ | -- |
Post Comment/ Review Below
What is the Sam Moussa's 1396730180?
The Sam Moussa's NPI (National Provider Identifier) Number is 1396730180. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sam Moussa's facilities are geographically located?
The facilities of Sam Moussa are physically situated at the following location: 2585 N Wyatt Dr, Tucson, AZ, 857126104.
What is Sam Moussa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sam Moussa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date was the 1396730180 assigned to Sam Moussa?
The Sam Moussa was issued its 1396730180 on 2005-09-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Sam Moussa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sam Moussa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.