Jodi Michelle Moore PA-C

NPI 1386794493 - Physician Assistant - 363A00000X

NPI Details
NPI 1386794493
Gender Female
Enumeration Date 01/11/2007
Last Updated 04/15/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4320 DIPLOMACY DR
ANCHORAGE AK, 99508-5925, US
Phone (907) 729-3122
Fax
Business Location
4320 DIPLOMACY DR
ANCHORAGE AK, 99508-5925, US
Phone (907) 729-3122
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Alaska
License Number 725
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According to our database, Ms. Jodi Michelle Moore PA-C NPI is 1386794493, taxonomy code is 363A00000X and license number is 725, license state is located at Alaska. Jodi Michelle Moore PA-C physically located at 4320 Diplomacy Dr, Anchorage AK, 99508-5925. NPI Number Jodi Michelle Moore PA-C has the Individual type.

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1386794493 NPI number is provided on an as is basis without warranty of any kind. 1386794493 is maintained by the National Plan & Provider Enumeration System. The contents of Jodi Michelle Moore PA-C are for informational purposes only.