Individual ProviderPooneh MussmanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2437(602) 331-7811PECOS EnrollmentBased on the most recent information from CMS, provider Pooneh Mussman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033469887Provider TypeIndividualFull NameMussman, PoonehCredentialPAGenderFemaleSole ProprietorNoEnumeration Date9/19/2012Last Updated4/8/2016Contact InformationPractice LocationPractice Address9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2437Phone(602) 331-7811FaxUnlisted FaxMailing LocationMailing Address9250 N 3rd St, Suite 1003, Phoenix, AZ 85020-2437Phone(602) 331-7811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601006383Michigan