MR. MICHALL ALAN MOORE MED MED LAC NCC NPI 1306092333

NPI Information

NPI: 1306092333
Provider Name: MR. MICHALL ALAN MOORE, MED, MED, LAC, NCC
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
2843 S 48TH WAY
YUMA, AZ
ZIP 85364
Phone: (928) 580-9725
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MR. Michall Alan Moore, MED, MED, LAC, NCC is a specialist technologist other in Yuma, AZ. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. MR. Michall Alan Moore, MED, MED, LAC, NCC NPI is 1306092333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2843 S 48TH WAY
YUMA, AZ
ZIP 85364-611
Phone: (928) 580-9725

The enumeration date for this NPI number is 8/11/2008 and was last updated on 8/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		LAC-12325	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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