IndividualActive
Michall Moore, MED, MED, LAC, NCC
NPI 1306092333 · Other Specialist/Technologist · Yuma, AZ
Provider details
- NPI number
- 1306092333
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MED, MED, LAC, NCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LAC-12325 (AZ)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2843 S 48th Way
Yuma, AZ 85364-9611
Phone: (928) 580-9725
Approximate (ZIP-level) locationGet directions
Mailing address
2843 S. 48th Way
Yuma, AZ 85364-2843
Registry dates
- Enumerated
- 2008-08-11
- Last updated
- 2008-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.