Organization · Type 2 NPI

Shane Moore DPM PC

Foot & Ankle Surgery Podiatrist · Peoria, AZ

NPI number 1710470950 Active

Practice location

13660 N 94th Dr Ste D1
Peoria, AZ 85381-4275

Call (623) 974-0522 Map

Fax (623) 933-5787

Mailing address

13660 N 94th Dr Ste F1
Peoria, AZ 85381-4232

Other practice locations

  • 490 W Bralliar Rd, Wickenburg, AZ 85390-2448 · (623) 974-0522

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0802 (AZ)

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

6 other providers at this address

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About NPI 1710470950

Shane Moore DPM PC's National Provider Identifier is 1710470950, issued on Jun 12, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Peoria, AZ. The record was last updated on Jun 20, 2025.