Individual provider · Type 1 NPI

Sam Moussa

Specialist · Tucson, AZ

NPI number 1396730180 Active

Practice location

2585 N Wyatt Dr
Tucson, AZ 85712-6104

Call (520) 721-2728 Map

Fax (520) 721-0179

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19323 (AZ)

Specialist: 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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About NPI 1396730180

Sam Moussa's National Provider Identifier is 1396730180, issued on Sep 16, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tucson, AZ. The record was last updated on Jul 13, 2026.