IndividualActive
Phoenix Moore
NPI 1962067736 · Phlebology Physician · Pittsburgh, PA
Provider details
- NPI number
- 1962067736
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7774100 (PA)
Practice location
239 4th Ave Ste 1818
Pittsburgh, PA 15222-1716
Phone: (412) 407-3729
Mailing address
239 4th Ave Ste 1818
Pittsburgh, PA 15222-1716
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2020-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.