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

TONNIE MOORE, PA

Active

TONNIE MOORE, PA is a Physician Assistant healthcare provider located in SEBASTOPOL, California. NPI 1619997269 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SEBASTOPOL, CA

Registration Details

NPI Number
1619997269
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2006 (20.038416641693 yrs)
Last Updated
Oct 9, 2009
License
PA17329 (CA)

Practice Information

Address
555 PETALUMA AVE
SUITE B
SEBASTOPOL, CA, 954724224
Browse CA providers · Browse ZIP 95472
Phone
7078237602
Fax
7078237625
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SEBASTOPOL, CA

Name Credential NPI
MR. KEVIN R DEUTSCHE RPA-C 1982752440
KYLA WOLFF EHRENREICH PA-C 1134359789
WAIDE HICKS GONZALES PA-C 1881278687
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.