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. (Alaska).

The current practice location address for John Wayne Moore is 1001 E Bogard Rd, Wasilla, AK and can be reached out via phone at 907-373-2225 and via fax at 907-376-9225.

Location: 1001 E Bogard Rd, Wasilla, AK, 99654-7114
person
Provider Profile Details
NPI Number
1669552550
Provider Name
John Wayne Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1001 E Bogard Rd, Wasilla, AK, 99654-7114
Phone Number
907-373-2225
Fax Number
907-376-9225
Provider Enumeration Date
10/16/2006
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1001 E Bogard Rd
City
State
Zip
99654-7114
Phone Number
907-373-2225
Fax Number
907-376-9225
person
Provider Business Mailing Address Details
Address
1001 E Bogard Rd
City
State
Zip
99654-7114
Phone Number
907-373-2225
Fax Number
907-376-9225
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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