Search › Arizona › Surgery Physician
Shane Moore, DO
NPI 1982224796 · on the registry since 2020
Practice
- Address
- 7700 E Florentine Rd Ste 203
Prescott Valley, AZ 86314 - Phone
- (928) 708-4310
- Fax
- (928) 548-2164
- Organisation at this address
- Rocky Mountain Holdings, Llc
Yavapai Community Hospital Association
Yavapai Regional Medical Center Physician Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 1301 S Crismon Rd, Mesa, AZ
- 1001 Willow Creek Rd Ste 1200, Prescott, AZ
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona