NPI 1306092333
Michall Alan Moore, MEDMEDLACNCC
Practice location
- Address
- 2843 S 48th Way, Yuma, AZ 85364-9611
- Phone
- (928) 580-9725
- Mailing address
- 2843 S. 48th Way, Yuma, AZ 85364-2843
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1306092333
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Aug 2008
- Record last updated
- 11 Aug 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.