Tonnie Moore, PA

NPI #1619997269 in Sebastopol, California

Provider Information

NPI Number: 1619997269
Entity Type: Individual
Name: Tonnie Moore, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 19, 2006
Last Updated: Oct 9, 2009

Practice Location

Address: 555 PETALUMA AVE
Address 2: SUITE B
City: Sebastopol
State: California
ZIP Code: 95472-4224
Phone: (707) 823-7602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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