Aaron M Moredock PAC

NPI 1063416436 - Physician Assistant - 363A00000X

NPI Details
NPI 1063416436
Gender Male
Enumeration Date 06/13/2005
Last Updated 03/24/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2000 CHURCH STREET
EMERGENCY DEPT
NASHVILLE TN, 37236, US
Phone (615) 284-8484
Fax (615) 284-3854
Business Location
ONE VANTAGE WAY
SUITE B 240
NASHVILLE TN, 37228, US
Phone (615) 329-4020
Fax (615) 329-9479
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number 855
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According to our database, Aaron M Moredock PAC NPI is 1063416436, taxonomy code is 363A00000X and license number is 855, license state is located at Tennessee. Aaron M Moredock PAC physically located at 2000 Church Street, Nashville TN, 37236. NPI Number Aaron M Moredock PAC has the Individual type.

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1063416436 NPI number is provided on an as is basis without warranty of any kind. 1063416436 is maintained by the National Plan & Provider Enumeration System. The contents of Aaron M Moredock PAC are for informational purposes only.