Bret A Moore in Ottumwa - Physician Assistant

Bret A Moore - NPI 1639108004

Bret A Moore is a Physician Assistant in Ottumwa, Iowa. Bret A Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bret A Moore is 1639108004. The last update date is 2022-07-21.

Bret A Moore's current location address is 920 N Quincy Ave, Ottumwa, Iowa. You can contact this provider via phone number 6414555200 and fax number 6414555150. The mailing address for Bret A Moore is 920 N Quincy Ave, Ottumwa, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Bret A Moore
Address 920 N Quincy Ave, Ottumwa, Iowa
Phone Number 6414555200
Fax Number 6414555150
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1639108004
Provider Enumeration Date 2006-06-30
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 920 N Quincy Ave
City Ottumwa
State Iowa (IA)
Post Code 525013866
Phone Number 6414555200
Fax Number 6414555150

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1436
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
560910078 IA MEDICARE PTAN
219804 WA L&I
87087 IA IOWA LICENSE
8354698 WA --

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FAQs about Bret A Moore

What is the unique 10-digit identifier code assigned to Bret A Moore by the Centers for Medicare & Medicaid Services?

The Bret A Moore has been issued the NPI (National Provider Identifier) 1639108004 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Bret A Moore is physically located?

The Bret A Moore is situated at the following address: 920 N Quincy Ave, Ottumwa, IA 525013866.

What is the area of specialization for Bret A Moore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bret A Moore is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639108004 to Bret A Moore?

The Centers for Medicare & Medicaid Services originally issued the 1639108004 to Bret A Moore on 2006-06-30.

When was the information regarding Bret A Moore most recently updated?

The details pertaining to the Bret A Moore, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.

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