Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Moore, CCP

Individual provider Specialist · NPI 1659409092

Michael Moore, CCP is a Specialist in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

10930 N Tatum Blvd #103
Phoenix, AZ 85028-6069
Phone: (602) 263-7600
Fax: (602) 212-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1659409092
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069

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