person
Emily Moore, PA-C
Medical Physician Assistant in Mountain Home, Idaho
NPI 1891197570

Emily Moore is a Medical Physician Assistant based in Boise, ID and is specialized in Medical. Emily Moore practices in Mountain Home, ID and has the professional credentials of PA-C. The NPI Number for Emily Moore is 1891197570 and holds a License No. PA0000 (Idaho).

The current practice location address for Emily Moore is 465 Mckenna Dr, Mountain Home, ID and can be reached out via phone at 208-587-9703. You can also correspond with Emily Moore through the mailing address at 190 E BANNOCK ST, BOISE, ID - 83712-6241 (mailing address contact number: 208-381-2222).

Location: 465 Mckenna Dr, Mountain Home, ID, 83712-6241
person
Provider Profile Details
NPI Number
1891197570
Provider Name
Emily Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
465 Mckenna Dr, Mountain Home, ID, 83712-6241
Phone Number
208-587-9703
Fax Number
Provider Enumeration Date
09/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
465 Mckenna Dr
City
State
Zip
83647-2143
Phone Number
208-587-9703
Fax Number
person
Provider Business Mailing Address Details
Address
465 Mckenna Dr
City
State
Zip
83647-2143
Phone Number
208-587-9703
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA0000 (Idaho)
Definition
Definition to come...
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