Individual
GAVEN ANDREW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 334-5081
Mailing address
1598 CHURCH CAMP RD, BEDFORD, IN 47421-7483
(812) 278-1552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004916A
IN
363AM0700X
Medical Physician Assistant
10004916A
IN
Other
Enumeration date
01/27/2025
Last updated
12/29/2025
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