Individual provider · Type 1 NPI
Elizabeth D. Moore, PA
Medical Physician Assistant · Peoria, IL
NPI number
1265543391
Active
Practice location
8940 N Wood Sage Road
Peoria, IL 61615
Fax (309) 243-3050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1265543391
Elizabeth D. Moore, PA's National Provider Identifier is 1265543391, issued on Aug 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.