Individual
DAVID ALLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 W OSBORN RD STE 200, PHOENIX, AZ 85013-3817
(480) 410-6121
Mailing address
2614 N 20TH AVE, PHOENIX, AZ 85009-1937
(928) 210-6053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57025
AZ
207Q00000X
Family Medicine Physician
C174268
CA
Other
Enumeration date
05/10/2012
Last updated
10/10/2023
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