SHANE MOORE, DO

Surgery

Active Individual
NPI: 1982224796

Practice Address

7700 E FLORENTINE RD STE 203
Prescott Valley, AZ 86314

Phone: (928) 708-4310

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Surgery 208600000X Yes 011620 (AZ)

Frequently Asked Questions

NPI 1982224796 is the National Provider Identifier for SHANE MOORE, DO, a Surgery provider located in Prescott Valley, AZ. This NPI was enumerated on April 22, 2020.
SHANE MOORE, DO practices at 7700 E FLORENTINE RD STE 203, Prescott Valley, AZ 86314.

Quick Facts

NPI
1982224796
Type
Individual
Enumerated
Apr 22, 2020
Last Updated
Jun 3, 2025

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