Riley Dale Moore
Riley Dale Moore is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
19555 N 59th AveGlendale, AZ 85308-6813
Phone: (623) 572-3200
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1093590838 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 6125 E Indian School Rd Apt 249, Scottsdale, AZ 85251-5496 |
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