Search › Louisiana › 363AS0400X
Marla Moore, MPAS, PA-C
NPI 1417176132 · on the registry since 2007
Practice
- Address
- 510 E Stoner Ave Dept Of
Shreveport, LA 71101 - Phone
- (318) 990-4975
- Organisation at this address
- Obvamc
Shreveport Vamc
Shreveport Vamc
Shreveport Vamc
Shreveport VamcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 494
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AM0700X
- Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana