Individual
MICHAEL J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5151 E. HWY 90, SIERRA VISTA, AZ 85635
(520) 803-6644
(520) 544-2943
Mailing address
5151 E. HWY 90, SIERRA VISTA, AZ 85635
(520) 519-7720
(520) 519-5181
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
10112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237851
—
AZ
Enumeration date
05/10/2006
Last updated
03/05/2013
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