Shane Moore Dpm Pc

LBN: Shane Moore Dpm Pc
Shane Moore Dpm Pc is an health care organization with primary practice located at 13660 N 94Th Dr Ste F1 , Peoria AZ 85381-4232. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Shane Moore Dpm Pc can be contacted via phone (623) 974-0522, or through Moore, Steven Shane via phone (480) 241-9848.

Contact Information

Primary practice address
13660 N 94Th Dr Ste F1 Peoria AZ 85381-4232
Fax: (623) 933-5787
Website:
Authorized official contact:
Name: Moore, Steven Shane Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0802 Arizona

Profile Details

NPI number 1710470950
LBN Legal business name Shane Moore Dpm Pc
DBA Doing business as
Authorized official Moore, Steven Shane Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers