Individual
DAVID LEON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 108, MESA, AZ 85210-3086
(480) 248-3070
(480) 248-3099
Mailing address
1830 S ALMA SCHOOL RD STE 108, MESA, AZ 85210-3086
(480) 248-3070
(480) 248-3099
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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