Evan Moore
NPI #1376315614 in Brawley, California
Provider Information
- NPI Number
- 1376315614
- Entity Type
- Individual
- Name
- Evan Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 207 W LEGION RD
- City
- Brawley
- State
- California
- ZIP Code
- 92227-7780
- Phone
- (760) 351-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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