Individual provider · Type 1 NPI

Grant Harris Moore, MD

Ophthalmic Plastic and Reconstructive Surgery Physician · Phoenix, AZ

NPI number 1710239751 Active

Practice location

4800 N 22nd St
Phoenix, AZ 85016-4701

Fax (602) 508-4830

Other practice locations

  • 1000 W Carson St, Box 2, Torrance, CA 90502-2004 · (310) 222-2911
  • 1055 S Stapley Dr, Mesa, AZ 85204-5098 · (480) 833-9100

Specialties and licenses

TaxonomyCodeLicense
Ophthalmic Plastic and Reconstructive Surgery Physician Primary 207WX0200X55263 (AZ)
Ophthalmology Physician 207W00000X55263 (AZ)

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…

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About NPI 1710239751

Grant Harris Moore, MD's National Provider Identifier is 1710239751, issued on Oct 14, 2012. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in Phoenix, AZ. The record was last updated on May 1, 2019.