Individual
DR. ABIGAIL DOROTHY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2323 E GREENLAW LN STE 10, FLAGSTAFF, AZ 86004-1849
(928) 863-4692
(818) 338-2566
Mailing address
2323 E GREENLAW LN STE 10, FLAGSTAFF, AZ 86004-1849
(928) 863-4692
(818) 338-2566
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010572
AZ
2084P0800X
Psychiatry Physician
02003244A
IN
2084P0800X
Psychiatry Physician
036094784
IL
2084P0800X
Psychiatry Physician
3840
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741018
—
AZ
Enumeration date
10/21/2005
Last updated
07/25/2023
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