Individual
PAIGE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 888-8888
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
MO
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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