NPI 1013664093

Moorea Leigh Massa, PAC

Practitioner Surgical Physician Assistant Fayetteville, AR

Practice location

Address: 3336 N Futrall Dr, Fayetteville, AR 72703-4057
Phone: (479) 463-3000
Mailing address: 614 NE Alpha Cir APT 308, Bentonville, AR 72712-3050

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Other Physician Assistant providers in Arkansas →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI: 1013664093
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2022
Record last updated: 30 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.