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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