Steven Shane Moore, DPM

NPI #1306101571 in Peoria, Arizona

Provider Information

NPI Number: 1306101571
Entity Type: Individual
Name: Steven Shane Moore, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 12, 2012
Last Updated: Dec 22, 2015

Practice Location

Address: 13660 N 94TH DR STE F1
City: Peoria
State: Arizona
ZIP Code: 85381-4232
Phone: (623) 974-0522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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