Most Relevant Information
Provider Data
| NPI Number: | 1003815705 |
| Provider Name: | THOMAS GLENDON MOODY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 09470 |
Most Important Dates
| Enumeration Date: | 07/15/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2055 E SOUTHERN AVE
SUITE A
TEMPE
AZ
852827507
Practice Location Phone/Fax
| Phone: | 4804917676 |
| Fax: | 4804917555 |
Provider Mailing Location
2055 E SOUTHERN AVE
SUITE A
TEMPE
AZ
852827507
Provider Mailing Phone/Fax
| Phone: | 4804917676 |
| Fax: | 4804917555 |