Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE EDWARD MOORE, DO
ActiveSHANE EDWARD MOORE, DO is a General Surgery healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1982224796 is currently active in the NPPES registry. Verify at CMS.
General Surgery · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1982224796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2020 (6.3403469829618 yrs)
- Last Updated
- Jun 3, 2025
- License
-
011620 (AZ)
Practice Information
- Address
-
7700 E FLORENTINE RD STE 203PRESCOTT VALLEY, AZ, 863142245Browse AZ providers · Browse ZIP 86314
- Phone
- 9287084310
- Fax
- 9285482164
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in PRESCOTT VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL G MACON | M.D. | 1174526222 |
| DONALD JOHN HUANG | MD | 1124017595 |
| DR. DEMITRA T MANJOROS | M.D. | 1811960651 |
| DR. JOHN H. PAYNE | MD | 1922109958 |
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.