Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELIZABETH D MOORE, PA
ActiveMedical Physician Assistant · PEORIA, IL
Registration Details
- NPI Number
- 1265543391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.640870582875 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
8940 N WOOD SAGE ROADPEORIA, IL, 61615Browse IL providers · Browse ZIP 61615
- Phone
- 3092433000
- Fax
- 3092433050
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| STUART HOLLAND BERRYMAN | PA-C | 1093774705 |
| REBECCA ULTCH | PA | 1821054297 |
| JANE KALMES | P.A. | 1205876166 |
| MRS. LEANN B YOUNG | PAC | 1104835768 |
| MR. DANNY M COX | PAC | 1710099841 |
| JACINDA ANNE CORNICK | PA | 1124121371 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.