Individual
RANDALL LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-3511
Mailing address
3056B SHERBURNE PL, WEST POINT, NY 10996-1813
(845) 446-4247
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
650176
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0100115-CRNA
CO
Other
Enumeration date
03/23/2006
Last updated
12/11/2024
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