LARRY E MOORE CNA

STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY

Dr LARRY E MOORE CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1986.

Contact

STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY

230 HOSPITAL PLZ
WESTON
WV
264528558

Tel: 3042698000

LARRY E MOORE CNA Information

Npi 1891899308
Pac Id 3870511298
Professional Enrollment Id I20051103001231
Last Name MOORE
First Name LARRY
Middle Name E
Suffix
Gender M
Credential CNA
Medical School Name OTHER
Graduation Year 1986
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY
Group Practice Pac Id 4284530551
Number Of Group Practice Members 40
Line 1 Street Address 230 HOSPITAL PLZ
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WESTON
State WV
Zip Code 264528558
Phone Number 3042698000
Hospital Affiliation Ccn 1 510038
Hospital Affiliation Lbn 1 STONEWALL JACKSON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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