MEDICARE: DR. CHANCE MOORE D.C.

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	111N00000X	Chiropractor	7194	AZ

General Provider Information

NPI Number	:	1134210750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHANCE MOORE D.C.

Provider Business Mailing Address
First Line	:	9787 N 91ST ST
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-5088
Country	:	US
Telephone Number	:	480-860-8300
Fax Number	:	480-860-8398

Provider Business Practice Location Address
First Line	:	9787 N 91ST ST
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-5088
Country	:	US
Telephone Number	:	480-860-8300
Fax Number	:	480-860-8398

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	06/17/2008

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Directions to “ DR. CHANCE MOORE D.C.” Practice Location

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