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Search › Minnesota › Physician Assistant

Jacob Moore, PA-C

NPI 1851780928 · on the registry since 2015

Practice

Address
1900 Silver Lake Rd Nw
Suite 110
New Brighton, MN 55112
Phone
(651) 628-9566
Fax
(651) 628-0411
Organisation at this address
Genoa Healthcare Llc
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
259

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota