| Gaven Andrew Moore, PA-C | |
|
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
| (812) 353-5252 | |
| Not Available |
| Full Name | Gaven Andrew Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023821915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10004916A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 10004916A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gaven Andrew Moore, PA-C 1598 Church Camp Rd, Bedford, IN 47421-7483 Ph: (812) 278-1552 | Gaven Andrew Moore, PA-C 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 353-5252 |
William L Latimer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 | |
Alyssa Rose Van Duzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1175 S College Mall Rd, Bloomington, IN 47401 Phone: 812-323-4301 | |
Mr. Scott John Hopkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 Fax: 812-355-2317 | |
Miss Cheyenne Olivia Powers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 813 W 2nd St, Bloomington, IN 47403 Phone: 812-330-0303 | |
Riddhi Gandhi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Mr. Steven Eugene Jacobs, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-1272 |