Individual
PAUL ROBERT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
1515 E 20TH ST STE A, FARMINGTON, NM 87401-9039
(505) 326-6400
(505) 326-4606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1778687
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558686253
—
NM
05
—
ENROLLED
—
MN
Enumeration date
04/06/2010
Last updated
08/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us