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

MR. THOMAS U. MOODY SR., PHYSICIAN ASSISTANT

Active

MR. THOMAS U. MOODY SR., PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in WATERTOWN, New York. NPI 1467534396 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WATERTOWN, NY

Registration Details

NPI Number
1467534396
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.835005108034 yrs)
Last Updated
Jul 8, 2007
Licenses
OO9271 (NY)
001884 (CT)

Practice Information

Address
21017 STATE ROUTE 12F
WATERTOWN, NY, 136011078
Browse NY providers · Browse ZIP 13601
Phone
3157863436
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in WATERTOWN, NY

Name Credential NPI
MILAGROS C SMITH P.A. 1154327161
MS. LISA J TRICKEY PA C 1225030752
MELISSA A CHARLEBOIS RPA C 1275529554
JOHN HENRY BIALIK PA 1164400545
EILEEN R KRAEGER PA 1912950445
MS. DEBORAH CHRISTINE MCCABE 1114948841
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.