Cesserie Samantha Moyer, PA-C
Physician Assistant in Joint Base Lewis McChord, WA. Individual provider (NPI-1).
NPI number1164026944
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1164026944
- Entity type
- Individual (NPI-1)
- Name
- Cesserie Samantha Moyer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2020
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
9040 Jackson AveJoint Base Lewis McChord, WA 98431-9843
Phone 253-966-9818
Mailing address
17511 75th Avenue Ct EPuyallup, WA 98375-2536
Phone 913-217-0998
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All 20 Physician Assistant providers in Joint Base Lewis McChord · All 384 providers in Joint Base Lewis McChord
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