Alvaro J Moreno Od Pc
Clinic/Center in Petal, MS(View on Map)
Legal Business Name
Alvaro J Moreno Od Pc
NPI Number
1013085935
NPI Type
Organization
Enumeration Date
11/30/2006
Specialties
(Taxonomies)Licenses
State
Mississippi
License Number
610
Contact
Information
Purpose
Mailing
Location
Address
598 E CENTRAL AVE
598 E CENTRAL AVE
City
Petal
Petal
State
MS
MS
Postal Code
39465-2957
39465-2957
Country
US
US
Telephone Number
(601) 450-3937
(601) 450-3937
Authorized Official
Name
Dr. Alvaro Moreno
Title or Position
OWNER
Telephone Number
(601) 549-1553
Identifiers
Identifier
08637209
Identifier State
MS
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/08/2020