Individual provider · Type 1 NPI

Thomas U. Moody Sr., PHYSICIAN ASSISTANT

Medical Physician Assistant · Watertown, NY

NPI number 1467534396 Active

Practice location

21017 State Route 12F
Watertown, NY 13601-1078

Call (315) 786-3436 Map

Mailing address

26775 Anabel Ave
Evans Mills, NY 13637-3212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XOO9271 (NY)
Medical Physician Assistant 363AM0700X001884 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1467534396

Thomas U. Moody Sr., PHYSICIAN ASSISTANT's National Provider Identifier is 1467534396, issued on Oct 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watertown, NY. The record was last updated on Jul 8, 2007.