NPI 1053418921

Martha Jane Moore, MDMPH

Practitioner Addiction Medicine (Family Medicine) Physician Wasilla, AK

Practice location

Address: 3223 E Palmer Wasilla Hwy STE 4, Wasilla, AK 99654-7277
Phone: (907) 631-6300
Fax: (907) 631-6314

Registered specialties (2)

Addiction Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 6678 (AK)

Other Family Medicine providers in Alaska →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3944 (AK)

Registry record

NPI: 1053418921
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 30 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.