MRS. Rebecca Ivry Moore, PAC

NPI #1720273295 in Seward, Alaska

Provider Information

NPI Number: 1720273295
Entity Type: Individual
Name: MRS. Rebecca Ivry Moore, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 7, 2007
Last Updated: Jan 13, 2009

Practice Location

Address: 201 3RD AVE
Address 2: SUITE 201
City: Seward
State: Alaska
ZIP Code: 99664
Phone: (907) 224-4916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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