Individual
PHOENIX N MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 4TH AVE STE 1818, PITTSBURGH, PA 15222-1716
(412) 407-3729
Mailing address
239 4TH AVE STE 1818, PITTSBURGH, PA 15222-1716
(412) 407-3729
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
7774100
PA
Other
Enumeration date
05/07/2019
Last updated
06/05/2020
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