MR. Michael Moore I, CRNA
NPI #1770585614 in Pottsville, Pennsylvania
Provider Information
- NPI Number
- 1770585614
- Entity Type
- Individual
- Name
- MR. Michael Moore I, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Aug 11, 2005
- Last Updated
- May 1, 2009
Practice Location
- Address
- 227 LOUISA AVE
- City
- Pottsville
- State
- Pennsylvania
- ZIP Code
- 17901-8689
- Phone
- (570) 621-2843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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