Francis Bernard Moore, P.A.
Individual provider Active NPI Physician Assistant · Springerville, AZ
NPI 1235218850 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235218850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2093 (AZ)
- Practice address
- 118 S Mountain Ave
Springerville, AZ 85938-5104 - Phone
- (928) 333-4368
- Fax
- (928) 333-4369
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2093 | AZ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2093 | AZ | Yes |
Addresses
Primary practice location
118 S Mountain Ave
Springerville, AZ 85938-5104
Mailing address
118 S Mountain Ave
Springerville, AZ 85938-5104
Phone (928) 333-4368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442517 | Medicaid | AZ |
Other providers in Springerville, AZ
- Little Colorado Behavioral Health Center Inc.
- Leticia Marquez
- Lillie Nicole McCormick
- Martha McGuffin
- McNeill Enterprises LLC
- Ashlee Ann Nicoll
- North Country Healthcare, Inc.
- Devin Pinckard
- Heidi Ponce
- Hal Richins Jr.
All providers in Springerville, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.