Individual
ALANNA C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1072 N LIBERTY ST, SUITE 203, BOISE, ID 83704-8708
(208) 367-4321
(208) 367-4525
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-746
ID
Other
Enumeration date
06/11/2008
Last updated
11/10/2016
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