Individual provider · Type 1 NPI

Juanita A. Moore, PHYSICIAN ASSISTANT

Medical Physician Assistant · Rancho Mirage, CA

NPI number 1881920007 Active

Practice location

39000 Bob Hope Dr, Emergency Department
Rancho Mirage, CA 92270-3221

Call (760) 773-1221 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA20555 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1881920007

Juanita A. Moore, PHYSICIAN ASSISTANT's National Provider Identifier is 1881920007, issued on Oct 22, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rancho Mirage, CA. The record was last updated on Dec 14, 2015.