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Mr. Thomas U. Moody SR., PHYSICIANASSISTANT
Medical Physician Assistant in Watertown, New York
NPI 1467534396

Thomas U. Moody SR. is a Medical Physician Assistant based in Evans Mills, NY and is specialized in Medical. Thomas U. Moody SR. practices in Watertown, NY and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Thomas U. Moody SR. is 1467534396 and holds a License No. OO9271 (New York).

The current practice location address for Thomas U. Moody SR. is 21017 State Route 12F, Watertown, NY and can be reached out via phone at 315-786-3436.

Location: 21017 State Route 12F, Watertown, NY, 13637-3212
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Provider Profile Details
NPI Number
1467534396
Provider Name
Thomas U. Moody SR.
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
21017 State Route 12F, Watertown, NY, 13637-3212
Phone Number
315-786-3436
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4151147 01 NY MVP HEALTHCARE PIN #
institution
Provider Business Practice Location Address Details
Address
21017 State Route 12F
City
State
Zip
13601-1078
Phone Number
315-786-3436
Fax Number
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Provider Business Mailing Address Details
Address
21017 State Route 12F
City
State
Zip
13601-1078
Phone Number
315-786-3436
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
OO9271 (New York)
Definition
Definition to come...
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