Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 200201610 | NC |
N | 207RH0003X | Hematology & Oncology | 51354 | AZ |
N | 207RX0202X | Medical Oncology | 51354 | AZ |
NPI | 1114966298 |
---|---|
Provider Name | Dr. Cassandra N Moore |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/09/2020 |