Victor Stephen Moore PA-C

NPI 1780842799 - Physician Assistant - 363AM0700X

NPI Details
NPI 1780842799
Gender Male
Enumeration Date 05/27/2008
Last Updated 06/18/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
4791 E PALM CANYON DR
SUITE 200
PALM SPRINGS CA, 92264-5220, US
Phone (760) 834-7950
Fax (760) 834-7951
Business Location
4791 E PALM CANYON DR
SUITE 200
PALM SPRINGS CA, 92264-5220, US
Phone (760) 834-7950
Fax (760) 834-7951
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number 19745
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According to our database, Mr. Victor Stephen Moore PA-C NPI is 1780842799, taxonomy code is 363AM0700X and license number is 19745, license state is located at California. Victor Stephen Moore PA-C physically located at 4791 E Palm Canyon Dr, Palm Springs CA, 92264-5220. NPI Number Victor Stephen Moore PA-C has the Individual type.

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1780842799 NPI number is provided on an as is basis without warranty of any kind. 1780842799 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Stephen Moore PA-C are for informational purposes only.