Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANT HARRIS MOORE, MD
ActiveDR. GRANT HARRIS MOORE, MD is a 207WX0200X healthcare provider located in PHOENIX, Arizona. NPI 1710239751 is currently active in the NPPES registry. Verify at CMS.
207WX0200X · PHOENIX, AZ
Registration Details
- NPI Number
- 1710239751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2012 (13.866808108981 yrs)
- Last Updated
- May 1, 2019
- Licenses
-
55263 (AZ)55263 (AZ)
Practice Information
- Address
-
4800 N 22ND STPHOENIX, AZ, 850164701Browse AZ providers · Browse ZIP 85016
- Phone
- 6029551000
- Fax
- 6025084830
- Primary Specialty
-
207WX0200X
207WX0200X
- Additional Specialty
- Ophthalmology
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.