| NPI | 1588446991 |
|---|---|
| Doing Business As | EVAN MOORE PSYCHIATRY PLLC |
| Entity Type | Organization |
| Authorized Contact | EVAN C MOORE Sole Provider, Owner 480-235-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |