JOHANNA MOORE, PAC
Physician Assistant
Active
Individual
NPI: 1730153438
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | MA002613L (PA) |
Frequently Asked Questions
NPI 1730153438 is the National Provider Identifier for JOHANNA MOORE, PAC, a Physician Assistant provider located in Bryn Mawr, PA. This NPI was enumerated on February 17, 2006.
JOHANNA MOORE, PAC practices at 130 S BRYN MAWR AVE, Bryn Mawr, PA 19010.
Quick Facts
- NPI
- 1730153438
- Type
- Individual
- Enumerated
- Feb 17, 2006
- Last Updated
- Jun 28, 2019
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