Individual
DR. MICHAEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10556 E CAROLINA WILLOW LN, TUCSON, AZ 85747-9537
(601) 520-1438
Mailing address
10556 E CAROLINA WILLOW LN, TUCSON, AZ 85747-9537
(601) 520-1438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4281
AZ
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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