Mrs Laurie Anne Moore, PA | |
126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | |
(573) 596-0417 | |
(573) 596-0524 |
Full Name | Mrs Laurie Anne Moore |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 126 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295713246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 118221 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Mrs Laurie Anne Moore, PA 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 | Mrs Laurie Anne Moore, PA 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 |
Mr. Jon-marc Thibodeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Rickey Rodger Martin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Charles Gang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Mr. Rexford Allan Plank Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Toben Lybarger, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0456 | |
Michael Steven Godat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Mark S Short, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 |