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Contact Information

MICHAEL J MOORE, MD
5151 E. HWY 90
SIERRA VISTA, AZ85635
 Phone: 520-803-6644
 Fax: 520-544-2943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for MICHAEL J MOORE · (Male)

NPI # 1073562476
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 03/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 10112
  • AZ Medicaid 237851
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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