Search › Arizona › 213ES0103X
Tanner Moore, DPM
NPI 1144673237 · on the registry since 2016
Practice
- Address
- 519 Rose Ln
Wickenburg, AZ 85390 - Phone
- (602) 675-0478
- Fax
- (602) 675-0479
- Organisation at this address
- Nassim Haddad Md Pllc
Southwest Foot Institute Inc
Community Hospital Association, Inc.
Wickenburg Diabetes & Wound Care Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 520 Rose Ln, Wickenburg, AZ
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-08
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