Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER MILES MOORE, DPM
ActiveTANNER MILES MOORE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in WICKENBURG, Arizona. NPI 1144673237 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · WICKENBURG, AZ
Registration Details
- NPI Number
- 1144673237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2016 (10.080319292693 yrs)
- Last Updated
- Jul 8, 2021
- License
-
POD-000936 (AZ)
Practice Information
- Address
-
519 ROSE LNWICKENBURG, AZ, 853901448Browse AZ providers · Browse ZIP 85390
- Phone
- 6026750478
- Fax
- 6026750479
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.