IndividualActive
Nathan Moore, D.O.
NPI 1346575081 · Adult Reconstructive Orthopaedic Surgery Physician · Goodyear, AZ
Provider details
- NPI number
- 1346575081
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 006433 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Other Service Providers
Student, Health Care
Practice location
140 N Litchfield Rd Ste 110
Goodyear, AZ 85338-1226
Phone: (602) 256-2525
Fax: (602) 256-0795
Approximate (ZIP-level) locationGet directions
Mailing address
18444 N 25th Ave
Phoenix, AZ 85023-1266
Registry dates
- Enumerated
- 2009-10-14
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.