Mrs Tammy Jo Moran, PA | |
1300 W 2nd St, Rock Falls, IL 61071-1005 | |
(815) 626-2230 | |
Not Available |
Full Name | Mrs Tammy Jo Moran |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1300 W 2nd St, Rock Falls, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275600843 | NPI | - | NPPES |
085-001786 | Other | IL | ILLINOIS LICENSE NUMBER |
1528008034 | Other | IL | ORGANIZATION NPI NUMBER |
1035875 | Other | IL | PA CERTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 085-001786 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tammy Jo Moran, PA 1300 W 2nd St., Rock Falls, IL 61071-1005 Ph: (815) 626-2230 | Mrs Tammy Jo Moran, PA 1300 W 2nd St, Rock Falls, IL 61071-1005 Ph: (815) 626-2230 |
Payton Moe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 | |
Bonnie J. Krodel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 |