| Shane Moore Dpm Pc | |
|
13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 | |
| (623) 974-0522 | |
| (623) 933-5787 |
| Full Name | Shane Moore Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 13660 N 94th Dr Ste F1, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710470950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0802 (Arizona) | Primary |
| Provider Name | Steven Shane Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306101571 PECOS PAC ID: 6305084591 Enrollment ID: I20150709002596 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Moore Dpm Pc 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 Ph: (623) 974-0522 | Shane Moore Dpm Pc 13660 N 94th Dr Ste F1, Peoria, AZ 85381-4232 Ph: (623) 974-0522 |
Kaveh Panahi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13760 N 93rd Ave Ste 111, Peoria, AZ 85381 Phone: 623-439-2200 Fax: 623-439-7370 | |
Tanya L Thoms, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9045 W Athens St, Peoria, AZ 85382 Phone: 623-760-5802 Fax: 623-572-3449 | |
Keith Thomas Bangart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13660 N 94th Dr, #f1, Peoria, AZ 85381 Phone: 623-974-0522 Fax: 623-933-5787 | |
Kathleen M Stone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8325 W Happy Valley Rd, Unit 105, Peoria, AZ 85383 Phone: 602-547-2111 Fax: 602-547-0473 | |
Ryan Daniel Bangart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13660 N 94th Dr Ste D1, Peoria, AZ 85381 Phone: 623-974-0522 Fax: 623-933-5787 | |
David M. Bates, Dpm, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 15182 N 75th Ave, Suite 180, Peoria, AZ 85381 Phone: 623-243-5737 Fax: 623-399-4091 | |
Margaret A. Withrow, Dpm, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 13660 N 94th Dr, Ste A-3, Peoria, AZ 85381 Phone: 623-933-4645 |