Individual provider · Type 1 NPI

Andrea Moore Jost, P.A.

Surgical Physician Assistant · Birmingham, AL

NPI number 1457453052 Active

Practice location

4517 Southlake Pkwy, Suite 202
Birmingham, AL 35244-3280

Fax (205) 985-4326

Mailing address

PO Box 830791
Birmingham, AL 35283-0791

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-482 (AL)

Surgical Physician Assistant: Definition to come...

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About NPI 1457453052

Andrea Moore Jost, P.A.'s National Provider Identifier is 1457453052, issued on Sep 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Birmingham, AL. The record was last updated on Jan 13, 2014.