Individual provider · Type 1 NPI

S.jason Moore, P.A.

Surgical Physician Assistant · Vail, CO

NPI number 1356468979 Active

Practice location

181 W Meadow Dr
Vail, CO 81657-5242

Call (970) 479-5036 Map

Fax (970) 569-7453

Mailing address

PO Box 270596
Louisville, CO 80027-5009

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2029 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1356468979

S.jason Moore, P.A.'s National Provider Identifier is 1356468979, issued on Mar 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vail, CO. The record was last updated on Dec 22, 2008.