Individual
MS. AMIRA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
717 TOWN CENTER DRIVE, YORK, PA 17408-4824
(717) 356-4240
(717) 356-4241
Mailing address
1328 E BARRINGER ST, PHILADELPHIA, PA 19119-3943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057437
PA
363A00000X
Physician Assistant
OA003483
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103185850
—
PA
01
—
1184016792
NPI
—
Enumeration date
02/19/2015
Last updated
01/26/2021
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