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Christi L Moore, PA

Physician Assistant in Glendale, AZ. Individual provider (NPI-1).

NPI number1528080975
StatusActive
Last updated in NPPESAug 21, 2018

Details

NPI
1528080975
Entity type
Individual (NPI-1)
Name
Christi L Moore
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2006
Last updated
Aug 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1967AZYes

Practice location

5104 N 67th Ave
Glendale, AZ 85301-6541

Phone 602-899-4404

Mailing address

Po Box 41638
Phoenix, AZ 85080-1638

Phone 602-899-4404

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