JUSTIN MOORE

SHREVEPORT, LA
NPI1831743699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  346971)
Enumeration Date2019-07-30
Last Update Date2025-05-23
Business Address
Mr. JUSTIN MOORE Physician Assistant
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 870-510-0171
Mailing Address
Mr. JUSTIN MOORE Physician Assistant
61 WEESNER AVE UNIT 3
WILLIAMSBURG, KY 40769-2051
Phone number: 870-510-0171
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