| Evan Moore, | |
|
207 W Legion Rd, Brawley, CA 92227-7780 | |
| (760) 351-3333 | |
| Not Available |
| Full Name | Evan Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 207 W Legion Rd, Brawley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376315614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA63931 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Moore, 2461 Starlight Gln, Escondido, CA 92026-3858 Ph: () - | Evan Moore, 207 W Legion Rd, Brawley, CA 92227-7780 Ph: (760) 351-3333 |
Mr. Marshall Ray Debruler, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-445-3050 | |
Elvis Santillan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 197 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Laurel Crismon Popplewell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Omayra Montalvo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410 | |
Miss Autumn Leci Fornasero, M.S. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 | |
Salma Foroozan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410 | |
Mr. Christopher Leslie Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |