Jaquelyn D Moore is a Specialist in Phoenix, Arizona. Jaquelyn D Moore practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jaquelyn D Moore is 1821180829. The last update date is 2007-07-09.
Jaquelyn D Moore's current location address is 15002 N 32nd St, Phoenix, Arizona. You can contact this provider via phone number 6028675223. The mailing address for Jaquelyn D Moore is 15002 N 32nd St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaquelyn D Moore |
|---|---|
| Address | 15002 N 32nd St, Phoenix, Arizona |
| Phone Number | 6028675223 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1821180829 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 15002 N 32nd St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850324441 |
| Phone Number | 6028675223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 5759 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 874588 | AZ | -- |
Post Comment/ Review Below
What is the Jaquelyn D Moore's unique identification number?
The Jaquelyn D Moore has been assigned the NPI (National Provider Identifier) Number 1821180829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jaquelyn D Moore's physical address?
The Jaquelyn D Moore is physically located at 15002 N 32Nd St, in the city of Phoenix, AZ, with the postal code 850324441.
What is Jaquelyn D Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jaquelyn D Moore is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Jaquelyn D Moore receive the assignment of its 1821180829 from the Centers for Medicare & Medicaid Services?
The Jaquelyn D Moore was issued its 1821180829 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the information regarding Jaquelyn D Moore most recently updated?
The details pertaining to the Jaquelyn D Moore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.