Individual
THOMAS BRENT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(601) 434-3303
Mailing address
1226 ELIZABETH ST, DENVER, CO 80206-3220
(601) 434-3033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0991600-CRNA
CO
Other
Enumeration date
03/17/2015
Last updated
03/04/2021
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