Individual
ALEXANDER MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1035 1ST AVE W STE 210, KALISPELL, MT 59901-5626
(406) 607-4900
Mailing address
6507 BLUE RIDGE WAY, DEER PARK, WA 99006-8475
(509) 720-1950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-116229
MT
Other
Enumeration date
05/25/2020
Last updated
08/15/2023
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