| Larry Eugene Moore, CRNA | |
|
230 Hospital Plaza, Weston, WV 26452-8558 | |
| (304) 269-8000 | |
| (304) 269-8090 |
| Full Name | Larry Eugene Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 230 Hospital Plaza, Weston, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891899308 | NPI | - | NPPES |
| 0065546000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 31593 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Eugene Moore, CRNA 230 Hospital Plaza, Weston, WV 26452-8558 Ph: (304) 269-8000 | Larry Eugene Moore, CRNA 230 Hospital Plaza, Weston, WV 26452-8558 Ph: (304) 269-8000 |
Jack Charles Marcum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Brenda K Marcum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8090 Fax: 304-269-8090 | |
Michael Lee Casto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Melissa G Vickery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000 |