person
Tanner Miles Moore, DPM
Foot & Ankle Surgery Podiatrist in Wickenburg, Arizona
NPI 1144673237

Tanner Miles Moore is a Foot & Ankle Surgery Podiatrist based in Wickenburg, AZ and is specialized in Foot & Ankle Surgery. Tanner Miles Moore practices in Wickenburg, AZ and has the professional credentials of DPM. The NPI Number for Tanner Miles Moore is 1144673237 and holds a License No. POD-000936 (Arizona).

The current practice location address for Tanner Miles Moore is 519 Rose Ln, Wickenburg, AZ and can be reached out via phone at 602-675-0478 and via fax at 602-675-0479.

Location: 519 Rose Ln, Wickenburg, AZ, 85390-1448
person
Provider Profile Details
NPI Number
1144673237
Provider Name
Tanner Miles Moore
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
519 Rose Ln, Wickenburg, AZ, 85390-1448
Phone Number
602-675-0478
Fax Number
602-675-0479
Provider Enumeration Date
07/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
519 Rose Ln
City
State
Zip
85390-1448
Phone Number
602-675-0478
Fax Number
602-675-0479
person
Provider Business Mailing Address Details
Address
519 Rose Ln
City
State
Zip
85390-1448
Phone Number
602-675-0478
Fax Number
602-675-0479
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD-000936 (Arizona)
Definition
Definition to come...
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