Rebekah Griffin Moore in Mansfield - Physician Assistant

Rebekah Griffin Moore - NPI 1952528838

Rebekah Griffin Moore is a Physician Assistant in Mansfield, Ohio. Rebekah Griffin Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rebekah Griffin Moore is 1952528838. The last update date is 2007-07-08.

Rebekah Griffin Moore's current location address is 1957 Cliffwood Dr, Mansfield, Ohio. You can contact this provider via phone number 4195712288 and fax number 4195268617. The mailing address for Rebekah Griffin Moore is 1957 Cliffwood Dr, Mansfield, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebekah Griffin Moore
Address 1957 Cliffwood Dr, Mansfield, Ohio
Phone Number 4195712288
Fax Number 4195268617
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1952528838
Provider Enumeration Date 2007-04-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1957 Cliffwood Dr
City Mansfield
State Ohio (OH)
Post Code 449041631
Phone Number 4195712288
Fax Number 4195268617

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50-001308
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
50-001308 OH STATE LICENSE

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FAQs about Rebekah Griffin Moore

What is the unique 10-digit identification code assigned to Rebekah Griffin Moore by the Centers for Medicare & Medicaid Services?

The Rebekah Griffin Moore has been issued the NPI (National Provider Identifier) 1952528838, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Rebekah Griffin Moore is geographically located?

The Rebekah Griffin Moore is physically situated at the following location: 1957 Cliffwood Dr, Mansfield, OH, 449041631.

What is Rebekah Griffin Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Rebekah Griffin Moore is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Rebekah Griffin Moore receive its 1952528838 assignment from the Centers for Medicare & Medicaid Services?

The Rebekah Griffin Moore was assigned its 1952528838 by the Centers for Medicare & Medicaid Services on 2007-04-20.

When was the information pertaining to Rebekah Griffin Moore most recently updated or revised?

The details related to Rebekah Griffin Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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