Organization
SHANE MOORE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SHANE MOORE DPM (OWNER)
(480) 241-9848
Entity
Organization
Contact information
Practice address
13660 N 94TH DR STE D1, PEORIA, AZ 85381-4275
(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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0802
AZ
Other
Enumeration date
06/12/2018
Last updated
06/20/2025
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