Sam Moussa is a Specialist based in Tucson, AZ. Sam Moussa practices in Tucson, AZ. The NPI Number for Sam Moussa is 1396730180 and holds a License No. 19323 (Arizona).
The current practice location address for Sam Moussa is 2585 N Wyatt Dr, Tucson, AZ and can be reached out via phone at 520-721-2728 and via fax at 520-721-0179.
Location: 2585 N Wyatt Dr, Tucson, AZ, 85712-6104
Provider Profile Details
NPI Number
1396730180
Provider Name
Sam Moussa
Credential
Provider Entity Type
Individual
Gender
Male
Address
2585 N Wyatt Dr, Tucson, AZ, 85712-6104
Phone Number
520-721-2728
Fax Number
520-721-0179
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295198 | 05 | AZ |
Provider Business Practice Location Address Details
Address
2585 N Wyatt Dr
City
State
Zip
85712-6104
Phone Number
520-721-2728
Fax Number
520-721-0179
Provider Business Mailing Address Details
Address
2585 N Wyatt Dr
City
State
Zip
85712-6104
Phone Number
520-721-2728
Fax Number
520-721-0179
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
19323 (Arizona)
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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