MRS. Shirley Moody, PA

NPI #1770700585 in Tuscola, Illinois

Provider Information

NPI Number: 1770700585
Entity Type: Individual
Name: MRS. Shirley Moody, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 20, 2007
Last Updated: Feb 11, 2009

Practice Location

Address: 625 E US HIGHWAY 36
City: Tuscola
State: Illinois
ZIP Code: 61953-7505
Phone: (217) 253-1235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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