Individual
EVAN THOMAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4075 MONROEVILLE BLVD STE 125, MONROEVILLE, PA 15146-2526
(412) 373-1717
Mailing address
4200 BOSTON CT APT 105, MONROEVILLE, PA 15146-5334
(740) 278-5489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
06/05/2024
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