Randall Evan Moss in Silverdale - Physician Assistant
Randall Evan Moss - NPI 1912196221
Randall Evan Moss is a Physician Assistant in Silverdale, Washington. Randall Evan Moss practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randall Evan Moss is 1912196221. The last update date is 2015-10-29.
Randall Evan Moss's current location address is 2050 Barb St, Silverdale, Washington. You can contact this provider via phone number 3604154347. The mailing address for Randall Evan Moss is 2050 Barb St, Silverdale, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Evan Moss |
|---|---|
| Address | 2050 Barb St, Silverdale, Washington |
| Phone Number | 3604154347 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912196221 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2015-10-29 |
Provider Mailing Address Detail
| Address | 2050 Barb St |
|---|---|
| City | Silverdale |
| State | Washington (WA) |
| Post Code | 98315 |
| Phone Number | 3604154347 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1125502 |
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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 identification code assigned to Randall Evan Moss by the Centers for Medicare & Medicaid Services?
The Randall Evan Moss has been issued the NPI (National Provider Identifier) 1912196221. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Randall Evan Moss is physically located?
The Randall Evan Moss is situated at the following address: 2050 Barb St, Silverdale, WA 98315.
What is Randall Evan Moss's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Evan Moss's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Randall Evan Moss receive its 1912196221 assignment?
The Randall Evan Moss was assigned its 1912196221 on 2007-10-23, which is the date when this unique identifier was issued to the organization.
When was the Randall Evan Moss's information last updated?
The Randall Evan Moss's information was last updated on 2015-10-29.
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