LESLIE W MOODY

JOPLIN, MO
NPI1558409847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2000166139)
Enumeration Date2007-02-01
Last Update Date2015-12-03
Business Address
-- LESLIE W MOODY CRNA
100 MERCY WAY
JOPLIN, MO 64804-4524
Phone number: 417-556-3570
Mailing Address
-- LESLIE W MOODY CRNA
PO BOX 504944
SAINT LOUIS, MO 63150-4944
Phone number: 417-820-4620
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