S.jason Moore, P.A.

NPI #1356468979 in Vail, Colorado

Provider Information

NPI Number
1356468979
Entity Type
Individual
Name
S.jason Moore, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
P.A.
Enumeration Date
Mar 26, 2007
Last Updated
Dec 22, 2008

Practice Location

Address
181 W MEADOW DR
City
Vail
ZIP Code
81657-5242
Phone
(970) 479-5036

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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