MR. Jeffery W Moore, CRNA

NPI #1801870480 in Tipton, Indiana

Provider Information

NPI Number
1801870480
Entity Type
Individual
Name
MR. Jeffery W Moore, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Dec 6, 2005
Last Updated
Oct 1, 2014

Practice Location

Address
1000 S MAIN ST
City
Tipton
State
Indiana
ZIP Code
46072-9753
Phone
(765) 675-8521

Specialties & Taxonomy Codes

Specialty
Anesthesiologist Assistant
Nurse Anesthetist, Certified Registered

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