Victor Stephen Moore, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Palm Springs, CA

NPI

1780842799

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

19745 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-05-27

Last updated

2012-06-18