MR. MICHALL ALAN MOORE MED, MED, LAC, NCC
NPI 1306092333
Specialist/Technologist, Other in Yuma, AZ

Active since August 11, 2008
2843 S 48TH WAY, YUMA, AZ 85364(928) 580-9725 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.