Individual provider · Type 1 NPI

Johnathan Riegel Moresea

Medical Physician Assistant · Canton, OH

NPI number 1891574083 Active

Practice location

1320 Mercy Dr NW
Canton, OH 44708-2614

Mailing address

22856 Smith Northwest Rd
Alliance, OH 44601-8927

Other practice locations

  • 22856 Smith Northwest Rd, Alliance, OH 44601-8927 · (330) 949-7442

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50.008632RX (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1891574083

Johnathan Riegel Moresea's National Provider Identifier is 1891574083, issued on Sep 26, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Canton, OH. The record was last updated on Mar 4, 2024.