JEFFREY L MOFFAT MD PLLC
NPI 1710125000
Family Medicine in Lakeside, AZ

Q: What is Jeffrey L Moffat MD PLLC's NPI number?

The NPI number for Jeffrey L Moffat MD PLLC is 1710125000. It was assigned to this organization in the NPPES registry on January 26, 2009.

Q: What is Jeffrey L Moffat MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 26, 2009

5448 S WHITE MOUNTAIN ROAD, SUITE 270, LAKESIDE, AZ 85929(928) 532-5838(928) 532-6670 Get Directions Write a Review

NPPES record last updated: January 26, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jeffrey L Moffat Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY L MOFFAT MD PLLC (NPI 1710125000) is a healthcare organization registered as a family medicine in Lakeside, Arizona and active in the NPI registry since January 2009. The organization lists Jeffrey L Moffat, President, as its authorized official.

NPPES Registry Identity

NPI1710125000

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJEFFREY L MOFFAT MD PLLC

Location Address5448 S WHITE MOUNTAIN ROAD, SUITE 270Lakeside, AZ 85929

Mailing AddressPo Box 10Overgaard, AZ 85933-0010 · (928) 535-6667 · Fax (928) 535-5561

Phone(928) 532-5838

Fax(928) 532-6670

Organization SubpartNo

Authorized OfficialJeffrey L MoffatPresident · (928) 537-2480

Enumeration DateJanuary 26, 2009

✔ NPI 1710125000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 36459

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5448 S WHITE MOUNTAIN ROAD, Lakeside, AZ 85929

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey L Moffat MD PLLC's NPI number?

The NPI number for Jeffrey L Moffat MD PLLC is 1710125000. It was assigned to this organization in the NPPES registry on January 26, 2009.

Where is Jeffrey L Moffat MD PLLC located?

Jeffrey L Moffat MD PLLC is located at 5448 S White Mountain Road Suite 270, Lakeside, AZ 85929. The listed phone number is (928) 532-5838.

What is Jeffrey L Moffat MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey L Moffat MD PLLC was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.