TARA S MOSS PA

OPEN DOOR COMMUNITY HEALTH CENTERS

Dr TARA S MOSS PA is a female medical professional, specializing in Physician Assistant. She graduated in 1991.

Contact

OPEN DOOR COMMUNITY HEALTH CENTERS

770 10TH ST
ARCATA
CA
955216210

Tel: 7078268610

TARA S MOSS PA Information

Npi 1679660187
Pac Id 4486689908
Professional Enrollment Id I20051003000785
Last Name MOSS
First Name TARA
Middle Name S
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 1991
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OPEN DOOR COMMUNITY HEALTH CENTERS
Group Practice Pac Id 9436067485
Number Of Group Practice Members 86
Line 1 Street Address 770 10TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ARCATA
State CA
Zip Code 955216210
Phone Number 7078268610
Hospital Affiliation Ccn 1 050006
Hospital Affiliation Lbn 1 ST JOSEPH HOSPITAL
Hospital Affiliation Ccn 2 050028
Hospital Affiliation Lbn 2 MAD RIVER COMMUNITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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