Individual
DARRELL KENNETH MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13911 RIDGEDALE DRIVE, SUITE 350, MINNETONKA, MN 55305
(952) 932-0998
(952) 932-7122
Mailing address
4000 LATOKA VIEW LANE SW, ALEXANDRIA, MN 56308-4906
(952) 932-9012
(952) 932-7122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0860554
MN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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