Individual
MR. MICHAEL JASON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
463 S LAKE POWELL BLVD, STE. A, PAGE, AZ 86040-0790
(928) 645-0945
(928) 645-3254
Mailing address
PO BOX 790, PAGE, AZ 86040-0790
(928) 645-0945
(928) 645-3254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5032
AZ
Other
Enumeration date
12/26/2006
Last updated
05/27/2011
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