MR. Charles William Moore II, PHYSICIAN ASSISTANT
NPI #1568452605 in Oak Harbor, Washington
Provider Information
- NPI Number
- 1568452605
- Entity Type
- Individual
- Name
- MR. Charles William Moore II, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Oct 27, 2005
- Last Updated
- Mar 13, 2025
Practice Location
- Address
- 3475 N SARATOGA ST
- City
- Oak Harbor
- State
- Washington
- ZIP Code
- 98278-1894
- Phone
- (360) 475-4426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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