Organization · Type 2 NPI
Shane Moore DPM PC
Foot & Ankle Surgery Podiatrist · Buckeye, AZ
NPI number
1255228490
Active
Practice location
865 S Watson Rd Ste 205
Buckeye, AZ 85326-3470
Fax (623) 933-5787
Mailing address
13660 N 94th Dr Ste D1
Peoria, AZ 85381-4275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Buckeye
About NPI 1255228490
Shane Moore DPM PC's National Provider Identifier is 1255228490, issued on Jun 20, 2025. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Buckeye, AZ. The record was last updated on Jun 20, 2025.