Samantha Moore, PA-C
NPI #1073969101 in Olympia, Washington
Provider Information
- NPI Number
- 1073969101
- Entity Type
- Individual
- Name
- Samantha Moore, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 7, 2016
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 500 LILLY RD NE
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5195
- Phone
- (360) 413-8250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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