Individual
MICHAEL LANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(575) 390-2832
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(575) 390-2832
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R80885
AZ
Other
Enumeration date
03/20/2024
Last updated
05/17/2024
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