MS. Patricia Louise Moore, MEDICAID PROVIDER is a medical physician assistant in Indianaplis, IN. MS. Patricia Louise Moore, MEDICAID PROVIDER NPI is 1356643324. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1453 S. BANCROFT
INDIANAPLIS, IN
ZIP 46203-709
Phone: (317) 410-7339
The enumeration date for this NPI number is 11/24/2010 and was last updated on 5/4/2011.