JONATHAN ALAN MOORE

PHOENIX, AZ
NPI1821529652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: AZ  70643)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  302603)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-23
Last Update Date2023-10-27
Business Address
JONATHAN ALAN MOORE
9250 N 3RD ST STE 2030
PHOENIX, AZ 85020-2407
Phone number: 602-786-0200
Mailing Address
JONATHAN ALAN MOORE
9250 N 3RD ST STE 2030
PHOENIX, AZ 85020-2407
Phone number: