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Candace L Moore, PA-C
Medical Physician Assistant in Las Vegas, Nevada
NPI 1568555282

Candace L Moore is a Medical Physician Assistant based in Las Vegas, NV and is specialized in Medical. Candace L Moore practices in Las Vegas, NV and has the professional credentials of PA-C. The NPI Number for Candace L Moore is 1568555282 and holds a License No. PA940 (Nevada).

The current practice location address for Candace L Moore is 2650 N Tenaya Way Ste 301, Las Vegas, NV and can be reached out via phone at 702-870-2099 and via fax at 702-869-5347.

Location: 2650 N Tenaya Way Ste 301, Las Vegas, NV, 89193-8978
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Provider Profile Details
NPI Number
1568555282
Provider Name
Candace L Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2650 N Tenaya Way Ste 301, Las Vegas, NV, 89193-8978
Phone Number
702-870-2099
Fax Number
702-869-5347
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 NV
institution
Provider Business Practice Location Address Details
Address
2650 N Tenaya Way Ste 301
City
State
Zip
89128
Phone Number
702-870-2099
Fax Number
702-869-5347
person
Provider Business Mailing Address Details
Address
2650 N Tenaya Way Ste 301
City
State
Zip
89128
Phone Number
702-870-2099
Fax Number
702-869-5347
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA940 (Nevada)
Definition
Definition to come...
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