Moore, Matthew David
Moore, Matthew David is an individual health care provider with primary practice located at 1950 W Frye Rd Bldg B , Chandler AZ 85224-6255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, Matthew David can be contacted via phone (480) 895-9555.Contact Information
Primary practice address
1950 W Frye Rd Bldg B
Chandler AZ 85224-6255
Phone: (480) 895-9555
Fax: (480) 895-9494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4435 | Arizona |
Profile Details
| NPI number | 1700076635 |
|---|---|
| LBN Legal business name | Moore, Matthew David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700076635 | NPPES |
| Arizona | MEDICAID | 342076 |
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