Individual provider · Type 1 NPI

Tanner Miles Moore, DPM

Foot & Ankle Surgery Podiatrist · Wickenburg, AZ

NPI number 1144673237 Active

Practice location

519 Rose Ln
Wickenburg, AZ 85390-1448

Call (602) 675-0478 Map

Fax (602) 675-0479

Mailing address

523 Rose Ln
Wickenburg, AZ 85390-1448

Other practice locations

  • 520 Rose Ln, Wickenburg, AZ 85390-1447 · (760) 613-4402

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD-000936 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

5 other providers at this address

About NPI 1144673237

Tanner Miles Moore, DPM's National Provider Identifier is 1144673237, issued on Jul 13, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Wickenburg, AZ. The record was last updated on Jul 8, 2021.