Individual
ALEX JACOB CHRISTIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7219 N LITCHFIELD RD BLDG 1130, LUKE AFB, AZ 85309-1529
(623) 856-7527
Mailing address
7219 N LITCHFIELD RD BLDG 1130, LUKE AIR FORCE BASE, AZ 85309-1529
(623) 856-7527
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
10/23/2025
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