| M. Jane Moore, Md. Llc. | |
|
3260 Providence Dr Ste 526 Anchorage AK 99508-4608 | |
| (907) 569-3600 | |
| (907) 569-3200 |
| Full Name | M. Jane Moore, Md. Llc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3260 Providence Dr Ste 526, Anchorage, Alaska |
| Authorized Official Name and Position | Jill M Carroll (OFFICE MANAGER) |
| Authorized Official Contact | 9075693600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Jane Moore, Md. Llc. 3260 Providence Dr. Ste 526 Anchorage AK 99508-4608 Ph: (907) 569-3600 | M. Jane Moore, Md. Llc. 3260 Providence Dr Ste 526 Anchorage AK 99508-4608 Ph: (907) 569-3600 |
| NPI Number | 1609173798 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 02/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609173798 | NPI | - | NPPES |
| MD8920 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 952570 (Alaska) | Primary |
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