Shelby Maryann Moderow
NPI #1366164535 in Hill Afb, Utah
Provider Information
- NPI Number
- 1366164535
- Entity Type
- Individual
- Name
- Shelby Maryann Moderow
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Sep 14, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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