Provider Demographics
NPI:1346402880
Name:MOESER, ROSALIE ANN (DC)
Entity Type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:ANN
Last Name:MOESER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:ANN
Other - Last Name:MOESER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1257 W WARNER RD
Mailing Address - Street 2:STE B4
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-2713
Mailing Address - Country:US
Mailing Address - Phone:571-426-5176
Mailing Address - Fax:
Practice Address - Street 1:1257 W WARNER RD
Practice Address - Street 2:STE B4
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2713
Practice Address - Country:US
Practice Address - Phone:571-426-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556691111N00000X
AZ8492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor