Alanna C Moore, PA-C

NPI #1982864278 in Boise, Idaho

Provider Information

NPI Number: 1982864278
Entity Type: Individual
Name: Alanna C Moore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 11, 2008
Last Updated: Nov 10, 2016

Practice Location

Address: 1072 N LIBERTY ST
Address 2: SUITE 203
City: Boise
State: Idaho
ZIP Code: 83704-8708
Phone: (208) 367-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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