Individual
SPENCER MOORE
Active
Individual
SPENCER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78055
AZ
207W00000X
Ophthalmology Physician
R78055
AZ
207W00000X
Ophthalmology Physician
Primary
V0816
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
78178
AZ
Other
Enumeration date
04/27/2020
Last updated
07/10/2026
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