NPI 1023388006

Devin B Moore, PAC

Practitioner Physician Assistant Springfield, MO

Practice location

Address: 1235 E Cherokee St, Springfield, MO 65804-2203
Phone: (417) 820-5400
Fax: (417) 820-7129
Mailing address: 30 Lacrue Ave STE 101, Glen Mills, PA 19342-1042

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2011030406 (MO)

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Registry record

NPI: 1023388006
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2012
Record last updated: 12 Jan 2021

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.