Individual provider · Type 1 NPI

Moorea Leigh Massa, PA-C

Surgical Physician Assistant · Fayetteville, AR

NPI number 1013664093 Active

Practice location

3336 N Futrall Dr
Fayetteville, AR 72703-4057

Call (479) 463-3000 Map

Mailing address

614 NE Alpha Cir Apt 308
Bentonville, AR 72712-3050

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1013664093

Moorea Leigh Massa, PA-C's National Provider Identifier is 1013664093, issued on Mar 9, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fayetteville, AR. The record was last updated on May 30, 2023.