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 |
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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 |
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Provider Enumeration Date | 2006-06-30 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 920 N Quincy Ave |
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City | Ottumwa |
State | Iowa (IA) |
Post Code | 525013866 |
Phone Number | 6414555200 |
Fax Number | 6414555150 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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 | -- |
Post Comment/ Review Below
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.