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EMILY MOORE PA-C

Individual Provider (NPI-1) Active

Physician Assistant, Medical

Provider Information

NPI Number
1891197570
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
701 E PARKCENTER BLVD, BOISE, ID, 837066528
Phone
(208) 381-4210
Fax
(208) 381-2045

Specialties & Taxonomies

Physician Assistant, Medical Primary License: ID #PA-1200

All Addresses

LOCATION

701 E PARKCENTER BLVD

BOISE, ID, 837066528

(208) 381-4210

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

(208) 381-2222