Shane Edward Moore, DO
NPI #1982224796 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1982224796
- Entity Type
- Individual
- Name
- Shane Edward Moore, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- DO
- Enumeration Date
- Apr 22, 2020
- Last Updated
- Jun 3, 2025
Practice Location
- Address
- 7700 E FLORENTINE RD STE 203
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314-2245
- Phone
- (928) 708-4310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Surgery |
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