Individual provider · Type 1 NPI
Shane Edward Moore, DO
Surgery Physician · Prescott Valley, AZ
Practice location
7700 E Florentine Rd Ste 203
Prescott Valley, AZ 86314-2245
Fax (928) 548-2164
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Other practice locations
- 1301 S Crismon Rd, Mesa, AZ 85209-3767 · (480) 358-6450
- 1001 Willow Creek Rd Ste 1200, Prescott, AZ 86301-1614 · (928) 458-2995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgery Physician Primary | 208600000X | 011620 (AZ) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
Other surgery physician providers in Prescott Valley
About NPI 1982224796
Shane Edward Moore, DO's National Provider Identifier is 1982224796, issued on Apr 22, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Jun 3, 2025.