Individual provider · Type 1 NPI

Simon Mendoza Moreno, PA-C

Medical Physician Assistant · Tacoma, WA

NPI number 1902298987 Active

Practice location

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819

Call (253) 271-9720 Map

Fax (253) 212-3372

Mailing address

600 Orondo Ave, Ste 1
Wenatchee, WA 98801-2800

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60672657 (WA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1902298987

Simon Mendoza Moreno, PA-C's National Provider Identifier is 1902298987, issued on Feb 27, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tacoma, WA. The record was last updated on Aug 3, 2023.