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Mr. Michall Alan Moore, MED,MED,LAC,NCC
Other Specialist/Technologist in Yuma, Arizona
NPI 1306092333

Michall Alan Moore is a Other Specialist/Technologist based in Yuma, AZ. Michall Alan Moore practices in Yuma, AZ and has the professional credentials of MED,MED,LAC,NCC. The NPI Number for Michall Alan Moore is 1306092333 and holds a License No. LAC-12325 (Arizona).

The current practice location address for Michall Alan Moore is 2843 S 48Th Way, Yuma, AZ and can be reached out via phone at 928-580-9725.

Location: 2843 S 48Th Way, Yuma, AZ, 85364-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306092333
Provider Name
Michall Alan Moore
Credential
MED,MED,LAC,NCC
Provider Entity Type
Individual
Gender
Male
Address
2843 S 48Th Way, Yuma, AZ, 85364-2843
Phone Number
928-580-9725
Fax Number
Provider Enumeration Date
08/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2843 S 48Th Way
City
Yuma
State
Arizona
Zip
85364-9611
Phone Number
928-580-9725
Fax Number
person
Provider Business Mailing Address Details
Address
2843 S 48Th Way
City
Yuma
State
Arizona
Zip
85364-9611
Phone Number
928-580-9725
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
LAC-12325 (Arizona)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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