Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey L Moffat MD PLLC

Organization Family Medicine Physician · NPI 1710125000

Jeffrey L Moffat MD PLLC is a Family Medicine Physician in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5448 S White Mountain Rd Ste 270
Lakeside, AZ 85929
Phone: (928) 532-5838
Fax: (928) 532-6670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36459 (AZ)

Record details

NPI number1710125000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moffat — President · (928) 537-2480
NPI enumeratedJanuary 26, 2009
Last updated in NPPESJanuary 26, 2009
Mailing addressPo Box 10, Overgaard, AZ 85933-0010

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