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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELIZABETH D MOORE, PA

Active

Medical 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 ROAD
PEORIA, IL, 61615
Browse 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.