MR. MICHALL ALAN MOORE MED, MED, LAC, NCC
NPI 1306092333
Specialist/Technologist, Other in Yuma, AZ
- Individual
- Male
- Specialist/Technologist, Other
About MICHALL MOORE
This page provides the complete NPI Profile along with additional information for Michall Moore, a provider established in Yuma, Arizona with a medical specialization in Specialist/technologist, Other. The healthcare provider is registered in the NPI registry with number 1306092333 assigned on August 2008. The practitioner's primary taxonomy code is 246Z00000X with license number LAC-12325 (AZ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1306092333 Verify this NPI
- Provider Name
- MR. MICHALL ALAN MOORE MED, MED, LAC, NCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2843 S 48TH WAY YUMA, AZ 85364
- Location Phone
- (928) 580-9725
- Mailing Address
- 2843 S. 48TH WAY YUMA, AZ 85364
- Mailing Phone
- (928) 580-9725
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2008
- Last Update Date
- 08-11-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist, Other
- Taxonomy Code
- 246Z00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- LAC-12325
- License State
- AZ
- Taxonomy Description
- General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306092333, enumerated as an "individual" on August 11, 2008.
The provider is located at 2843 S 48TH WAY YUMA, AZ 85364 and the phone number is (928) 580-9725.
Specialist/Technologist, Other with taxonomy code 246Z00000X.