STEVEN SHANE MOORE

PEORIA, AZ
NPI1306101571
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: IN  41000273A)
Enumeration Date2012-07-12
Last Update Date2015-12-22
Business Address
-- STEVEN SHANE MOORE DPM
13660 N 94TH DR STE F1
PEORIA, AZ 85381-4232
Phone number: 623-974-0522
Mailing Address
-- STEVEN SHANE MOORE DPM
13660 N 94TH DR STE F1
PEORIA, AZ 85381-4232
Phone number: 623-974-0522