MR. THOMAS MOODY SR., PHYSICIAN ASSISTANT

Physician Assistant - Medical

Active Individual
NPI: 1467534396

Practice Address

21017 STATE ROUTE 12F
Watertown, NY 13601

Phone: (315) 786-3436

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 001884 (CT)

Frequently Asked Questions

NPI 1467534396 is the National Provider Identifier for MR. THOMAS MOODY SR., PHYSICIAN ASSISTANT, a Physician Assistant - Medical provider located in Watertown, NY. This NPI was enumerated on October 19, 2006.
MR. THOMAS MOODY SR., PHYSICIAN ASSISTANT practices at 21017 STATE ROUTE 12F, Watertown, NY 13601.

Quick Facts

NPI
1467534396
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Jul 8, 2007

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