Individual provider · Type 1 NPI

Deirdre T. Moxley, PA-C

Medical Physician Assistant · Fullerton, CA

NPI number 1215118641 Active

Practice location

1950 Sunnycrest Dr, Suite 2300
Fullerton, CA 92835-3638

Mailing address

207 W Crystal View Ave
Orange, CA 92865-2212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X18199 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1215118641

Deirdre T. Moxley, PA-C's National Provider Identifier is 1215118641, issued on Nov 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fullerton, CA. The record was last updated on Nov 14, 2007.