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Gretchen Moore, PA-C
Medical Physician Assistant in Harrisburg, Pennsylvania
NPI 1578017851

Gretchen Moore is a Medical Physician Assistant based in Harrisburg, PA and is specialized in Medical. Gretchen Moore practices in Harrisburg, PA and has the professional credentials of PA-C. The NPI Number for Gretchen Moore is 1578017851 and holds a License No. MA058337 (Pennsylvania).

The current practice location address for Gretchen Moore is 111 S Front St, Harrisburg, PA and can be reached out via phone at 717-231-8772 and via fax at 717-231-8435.

Location: 111 S Front St, Harrisburg, PA, 17104-1612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578017851
Provider Name
Gretchen Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
111 S Front St, Harrisburg, PA, 17104-1612
Phone Number
717-231-8772
Fax Number
717-231-8435
Provider Enumeration Date
08/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103183079 05 PA
institution
Provider Business Practice Location Address Details
Address
111 S Front St
City
Harrisburg
State
Pennsylvania
Zip
17101-2010
Phone Number
717-231-8772
Fax Number
717-231-8435
person
Provider Business Mailing Address Details
Address
111 S Front St
City
Harrisburg
State
Pennsylvania
Zip
17101-2010
Phone Number
717-231-8772
Fax Number
717-231-8435
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA058337 (Pennsylvania)
Definition
Definition to come...
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