MS. PATRICIA MOORE, MEDICAID PROVIDER
Physician Assistant - Medical
Active
Individual
NPI: 1356643324
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 200974970A (IN) |
Frequently Asked Questions
NPI 1356643324 is the National Provider Identifier for MS. PATRICIA MOORE, MEDICAID PROVIDER, a Physician Assistant - Medical provider located in Indianaplis, IN. This NPI was enumerated on November 24, 2010.
MS. PATRICIA MOORE, MEDICAID PROVIDER practices at 1453 S. BANCROFT, Indianaplis, IN 46203.
Quick Facts
- NPI
- 1356643324
- Type
- Individual
- Enumerated
- Nov 24, 2010
- Last Updated
- May 4, 2011
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