MR. Michael Jason Moore, D.C.

NPI #1851456487 in Page, Arizona

Provider Information

NPI Number: 1851456487
Entity Type: Individual
Name: MR. Michael Jason Moore, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 26, 2006
Last Updated: May 27, 2011

Practice Location

Address: 463 S LAKE POWELL BLVD
Address 2: STE. A
City: Page
State: Arizona
ZIP Code: 86040-0790
Phone: (928) 645-0945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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