Organization
JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC
Active
Organization
JEFFREY S. MOORE MD AND ELISHA T. POWELL IV MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA RITA MCGUIRE (BILLING MANAGER)
(907) 862-2663
Entity
Organization
Contact information
Practice address
2751 DEBARR RD, SUITE 310, ANCHORAGE, AK 99508-2953
(907) 279-2663
(907) 222-1774
Mailing address
PO BOX 772292, EAGLE RIVER, AK 99577-2292
(907) 862-2663
(907) 222-1774
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
3797
AK
Other
Enumeration date
01/11/2007
Last updated
08/29/2011
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