Individual
BRIAN W. MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11110 MEDICAL CAMPUS ROAD, SUITE 200, HAGERSTOWN, MD 21742
(301) 714-4300
(301) 714-4324
Mailing address
11110 MEDICAL CAMPUS ROAD, SUITE 200, HAGERSTOWN, MD 21742
(301) 714-4300
(301) 714-4324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R087438
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R087438
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590041700
—
MD
Enumeration date
07/11/2006
Last updated
10/24/2011
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