Individual
TYLER JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1892
(602) 277-5551
Mailing address
12544 W ORANGEWOOD AVE, GLENDALE, AZ 85307-1945
(623) 853-6692
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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