Organization
MOSS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER B MOSS CRNA (OWNER)
(785) 862-2819
Entity
Organization
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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