Individual
STEVEN SHANE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13660 N 94TH DR STE F1, PEORIA, AZ 85381-4232
(623) 974-0522
(623) 933-5787
Mailing address
13660 N 94TH DR STE F1, PEORIA, AZ 85381-4232
(623) 974-0522
(623) 933-5787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
41000273A
IN
Other
Enumeration date
07/12/2012
Last updated
12/22/2015
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