Individual
MOISES CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(509) 897-3790
(509) 897-5558
Mailing address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(509) 897-3790
(509) 897-5558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA70039676
WA
Other
Enumeration date
08/13/2025
Last updated
01/07/2026
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