George C Moore, PA-C
NPI #1104990654 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1104990654
- Entity Type
- Individual
- Name
- George C Moore, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 701 PARK AVE # 08
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55415-1623
- Phone
- (612) 873-2212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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