Gaven Andrew Moore, PA-C
NPI #1023821915 in Bloomington, Indiana
Provider Information
- NPI Number
- 1023821915
- Entity Type
- Individual
- Name
- Gaven Andrew Moore, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 27, 2025
- Last Updated
- Dec 29, 2025
Practice Location
- Address
- 2651 E DISCOVERY PKWY
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47408-9059
- Phone
- (812) 334-5081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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