Moffitt, Robert

Moffitt, Robert is an individual health care provider with primary practice located at 3320 N 2Nd St , Phoenix AZ 85012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Moffitt, Robert can be contacted via phone (602) 200-8288.

Contact Information

Primary practice address
3320 N 2Nd St Phoenix AZ 85012
Fax: (602) 200-8627
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 19494 Arizona

Profile Details

NPI number 1578566071
LBN Legal business name Moffitt, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jun 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578566071 NPPES
Arizona MEDICAID 295544

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