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NPI Code Detail

MEDICARE: ELIZABETH A MOYER PA-C

MEDICARE: ELIZABETH A MOYER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA061202PA

General Provider Information

NPI Number : 1073157475
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A MOYER PA-C
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4201 KUTZTOWN RD
Second Line :
City : TEMPLE
State : PA
Zip : 19560-1836
Country : US
Telephone Number : 610-898-6990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2019
Last Update Date : 10/30/2019

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Directions to “ ELIZABETH A MOYER PA-C” Practice Location

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