Individual provider · Type 1 NPI

Emily Moore, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1891197570 Active

Practice location

701 E Parkcenter Blvd
Boise, ID 83706-6528

Fax (208) 381-2045

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 465 Mckenna Dr, Mountain Home, ID 83647-2143 · (208) 587-9703

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1200 (ID)

Medical Physician Assistant: Definition to come...

40 other providers at this address

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About NPI 1891197570

Emily Moore, PA-C's National Provider Identifier is 1891197570, issued on Sep 24, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Oct 10, 2024.