Evan Moscone is a Physician Assistant in Troy, Michigan. Evan Moscone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Evan Moscone is 1811189517. The last update date is 2022-07-29.
Evan Moscone's current location address is 44201 Dequindre Rd Ste Ec, Troy, Michigan. You can contact this provider via phone number 2489645000. The mailing address for Evan Moscone is 44201 Dequindre Rd Ste Ec, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan Moscone |
|---|---|
| Address | 44201 Dequindre Rd Ste Ec, Troy, Michigan |
| Phone Number | 2489645000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1811189517 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2022-07-29 |
Provider Mailing Address Detail
| Address | 44201 Dequindre Rd Ste Ec |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480851117 |
| Phone Number | 2489645000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601005041 |
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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 |
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What is the unique 10-digit identifier code issued to Evan Moscone by the Centers for Medicare & Medicaid Services?
The Evan Moscone has been assigned the NPI (National Provider Identifier) 1811189517 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Evan Moscone's physical address?
The Evan Moscone is physically located at 44201 Dequindre Rd Ste Ec, in the city of Troy, MI, with the postal code 480851117.
What is Evan Moscone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evan Moscone is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811189517 to Evan Moscone?
The Centers for Medicare & Medicaid Services originally issued the 1811189517 to Evan Moscone on 2007-08-16.
As of what date were the details related to Evan Moscone most recently updated or revised?
The information pertaining to Evan Moscone, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-29.