Most Relevant Information
Provider Data
| NPI Number: | 1851394902 |
| Provider Name: | STACIA ADAIR MOORE AU.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | AU795 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 10/20/2011 |
Provider Practice Location
10 THREE MILE DR
KALISPELL
MT
599013034
Practice Location Phone/Fax
| Phone: | 4062572273 |
| Fax: | 4062577755 |
Provider Mailing Location
10 THREE MILE DR
KALISPELL
MT
599013034
Provider Mailing Phone/Fax
| Phone: | 4062572273 |
| Fax: | 4062577755 |