Individual provider · Type 1 NPI

Tonnie Moore, PA

Physician Assistant · Sebastopol, CA

NPI number 1619997269 Active

Practice location

555 Petaluma Ave, Suite B
Sebastopol, CA 95472-4224

Fax (707) 823-7625

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA17329 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619997269

Tonnie Moore, PA's National Provider Identifier is 1619997269, issued on Jul 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sebastopol, CA. The record was last updated on Oct 9, 2009.