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

SHANE MOORE DPM PC

Active Organization

SHANE MOORE DPM PC is a Foot & Ankle Surgery Podiatrist organization located in PEORIA, Arizona. NPI 1710470950 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · PEORIA, AZ

Registration Details

NPI Number
1710470950
Provider Type
Organization
NPI Issued
Jun 12, 2018 (8.2165281146359 yrs)
Last Updated
Jun 20, 2025
License
0802 (AZ)

Practice Information

Address
13660 N 94TH DR STE D1
PEORIA, AZ, 853814275
Browse AZ providers · Browse ZIP 85381
Phone
6239740522
Fax
6239335787
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Organizations in PEORIA, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.