Mark Gregory Moore, CRNA

NPI #1144210188 in Athens, Texas

Provider Information

NPI Number
1144210188
Entity Type
Individual
Name
Mark Gregory Moore, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Oct 21, 2005
Last Updated
Apr 6, 2010

Practice Location

Address
2000 S PALESTINE ST
City
Athens
State
Texas
ZIP Code
75751-5610
Phone
(903) 677-1000

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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