Individual provider · Type 1 NPI

Maggie Elizabeth Moulton, PA-C

Surgical Physician Assistant · Phoenix, AZ

NPI number 1245999697 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 344-5112 Map

Mailing address

2120 E Ray Rd Unit 158
Gilbert, AZ 85296-4299

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X10614 (AZ)
Surgical Physician Assistant Primary 363AS0400X10614 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1245999697

Maggie Elizabeth Moulton, PA-C's National Provider Identifier is 1245999697, issued on Dec 14, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 6, 2025.