Individual
BRENDA K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1091
WI
Other
Enumeration date
10/04/2006
Last updated
03/24/2025
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