MEDICARE: DARYL MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1679410534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARYL MOORE

Provider Business Mailing Address
First Line	:	7521 S 13TH PL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-5664
Country	:	US
Telephone Number	:	480-942-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	7521 S 13TH PL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-5664
Country	:	US
Telephone Number	:	480-942-8686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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Directions to “ DARYL MOORE ” Practice Location

Language	Start Address	Practice Location

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