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Riley Dale Moore
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1093590838

Riley Dale Moore is a Student in an Organized Health Care Education/Training Program based in Scottsdale, AZ. Riley Dale Moore practices in Glendale, AZ. The NPI Number for Riley Dale Moore is 1093590838 and holds a License No. (Arizona).

The current practice location address for Riley Dale Moore is 19555 N 59Th Ave, Glendale, AZ and can be reached out via phone at 623-572-3200.

Location: 19555 N 59Th Ave, Glendale, AZ, 85251-5496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093590838
Provider Name
Riley Dale Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
19555 N 59Th Ave, Glendale, AZ, 85251-5496
Phone Number
623-572-3200
Fax Number
Provider Enumeration Date
08/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19555 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-6813
Phone Number
623-572-3200
Fax Number
person
Provider Business Mailing Address Details
Address
19555 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-6813
Phone Number
623-572-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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