MRS. Ericka Rose Moudry, P.A.

NPI #1770565186 in Decorah, Iowa

Provider Information

NPI Number
1770565186
Entity Type
Individual
Name
MRS. Ericka Rose Moudry, P.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Nov 19, 2005
Last Updated
Feb 16, 2021

Practice Location

Address
901 MONTGOMERY ST
State
Iowa
ZIP Code
52101-2325
Phone
(563) 382-2911

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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