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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHALL ALAN MOORE, MED, MED, LAC, NCC

Active Sole Proprietor

MR. MICHALL ALAN MOORE, MED, MED, LAC, NCC is a Specialist/Technologist, Surgical healthcare provider located in YUMA, Arizona. NPI 1306092333 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · YUMA, AZ

Registration Details

NPI Number
1306092333
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2008 (17.819292062831 yrs)
Last Updated
Aug 11, 2008
License
LAC-12325 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2843 S 48TH WAY
YUMA, AZ, 853649611
Browse AZ providers · Browse ZIP 85364
Phone
9285809725
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
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.