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Dominic Moore
Physician Assistant in Burnsville, Minnesota
NPI 1518542810

Dominic Moore is a Physician Assistant based in Tampa, MN. Dominic Moore practices in Burnsville, MN. The NPI Number for Dominic Moore is 1518542810 and holds a License No. 1208270 (Minnesota).

The current practice location address for Dominic Moore is 1601 Highway 13 E, Burnsville, MN and can be reached out via phone at 952-405-9760.

Location: 1601 Highway 13 E, Burnsville, MN, 33637-1150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518542810
Provider Name
Dominic Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 Highway 13 E, Burnsville, MN, 33637-1150
Phone Number
952-405-9760
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 Highway 13 E
City
Burnsville
State
Minnesota
Zip
55337-6865
Phone Number
952-405-9760
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Highway 13 E
City
Burnsville
State
Minnesota
Zip
55337-6865
Phone Number
952-405-9760
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1208270 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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