Tracy Van Ells Moister PA-C

NPI 1215137807 - Physician Assistant - 363A00000X

NPI Details
NPI 1215137807
Gender Female
Enumeration Date 07/20/2007
Last Updated 03/04/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1601 E BROADWAY
SUITE 100
COLUMBIA MO, 65201-8020, US
Phone (573) 443-8796
Fax
Business Location
1601 E BROADWAY
SUITE 100
COLUMBIA MO, 65201-8020, US
Phone (573) 443-8796
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mrs. Tracy Van Ells Moister PA-C NPI is 1215137807, taxonomy code is 363A00000X Tracy Van Ells Moister PA-C physically located at 1601 E Broadway, Columbia MO, 65201-8020. NPI Number Tracy Van Ells Moister PA-C has the Individual type.

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1215137807 NPI number is provided on an as is basis without warranty of any kind. 1215137807 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Van Ells Moister PA-C are for informational purposes only.