Moore, Grant Harris

Moore, Grant Harris is an individual health care provider with primary practice located at 4800 N 22Nd St , Phoenix AZ 85016-4701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Moore, Grant Harris can be contacted via phone (602) 955-1000.

Contact Information

Primary practice address
4800 N 22Nd St Phoenix AZ 85016-4701
Phone: (602) 955-1000
Fax: (602) 508-4830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 55263 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 55263 Arizona

Profile Details

NPI number 1710239751
LBN Legal business name Moore, Grant Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2012
Last updated May 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710239751 NPPES
Arizona MEDICAID 349369

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