Individual
PAYTON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 N GREENFIELD RD STE 103, GILBERT, AZ 85234-5044
(602) 688-7545
Mailing address
1887 E PEGASUS DR, TEMPE, AZ 85283-3264
(509) 528-5900
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
297039
AZ
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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