person
Michael Lane Moore, MD
Student in an Organized Health Care Education/Training Program in Scottsdale, Arizona
NPI 1982464673

Michael Lane Moore is a Student in an Organized Health Care Education/Training Program based in Scottsdale, AZ. Michael Lane Moore practices in Scottsdale, AZ and has the professional credentials of MD. The NPI Number for Michael Lane Moore is 1982464673 and holds a License No. (Arizona).

The current practice location address for Michael Lane Moore is 13400 E Shea Blvd, Scottsdale, AZ and can be reached out via phone at 575-390-2832.

Location: 13400 E Shea Blvd, Scottsdale, AZ, 85259-5499
person
Provider Profile Details
NPI Number
1982464673
Provider Name
Michael Lane Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13400 E Shea Blvd, Scottsdale, AZ, 85259-5499
Phone Number
575-390-2832
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
13400 E Shea Blvd
City
State
Zip
85259-5499
Phone Number
575-390-2832
Fax Number
person
Provider Business Mailing Address Details
Address
13400 E Shea Blvd
City
State
Zip
85259-5499
Phone Number
575-390-2832
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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