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

Michelle Marie Moore

Individual provider Surgical Physician Assistant · NPI 1295338135

Michelle Marie Moore is a Surgical Physician Assistant in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

1432 S Dobson Rd Ste 304
Mesa, AZ 85202-4773
Phone: (480) 412-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9878 (AZ)

Record details

NPI number1295338135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address1432 S Dobson Rd Ste 304, Mesa, AZ 85202-4773

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