person
John Wayne Moore, PA-C
Medical Physician Assistant in Wasilla, Alaska
NPI 1669552550

John Wayne Moore is a Medical Physician Assistant based in Wasilla, AK and is specialized in Medical. John Wayne Moore practices in Wasilla, AK and has the professional credentials of PA-C. The NPI Number for John Wayne Moore is 1669552550 and holds a License No. 508 (Alaska).

The current practice location address for John Wayne Moore is 950 Bogard Rd, Wasilla, AK and can be reached out via phone at 907-352-2883 and via fax at 907-352-2885. You can also correspond with John Wayne Moore through the mailing address at 3719 E MERIDIAN LOOP, WASILLA, AK - 99654-7273 (mailing address contact number: 907-352-2883).

Location: 950 Bogard Rd, Wasilla, AK, 99654-7273
person
Provider Profile Details
NPI Number
1669552550
Provider Name
John Wayne Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
950 Bogard Rd, Wasilla, AK, 99654-7273
Phone Number
907-352-2883
Fax Number
907-352-2885
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
950 Bogard Rd
City
State
Zip
99654-7105
Phone Number
907-352-2883
Fax Number
907-352-2885
person
Provider Business Mailing Address Details
Address
3719 E Meridian Loop
City
State
Zip
99654-7273
Phone Number
907-352-2883
Fax Number
907-352-2885
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
508 (Alaska)
Definition
Definition to come...
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