Individual provider · Type 1 NPI
Michall Alan Moore, MED, MED, LAC, NCC
Other Specialist/Technologist · Yuma, AZ
NPI number
1306092333
Active
Practice location
2843 S 48th Way
Yuma, AZ 85364-9611
Mailing address
2843 S. 48th Way
Yuma, AZ 85364-2843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | LAC-12325 (AZ) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1306092333
Michall Alan Moore, MED, MED, LAC, NCC's National Provider Identifier is 1306092333, issued on Aug 11, 2008. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Yuma, AZ. The record was last updated on Aug 11, 2008.