Individual provider · Type 1 NPI

Victor Stephen Moore, PA-C

Medical Physician Assistant · Palm Springs, CA

NPI number 1780842799 Active

Practice location

4791 E Palm Canyon Dr, Suite 200
Palm Springs, CA 92264-5220

Fax (760) 834-7951

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X19745 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1780842799

Victor Stephen Moore, PA-C's National Provider Identifier is 1780842799, issued on May 27, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Palm Springs, CA. The record was last updated on Jun 18, 2012.