CHARLES A MOORES

COEUR D ALENE, ID
NPI1760445910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA468)
Enumeration Date2006-04-10
Last Update Date2018-09-10
Business Address
CHARLES A MOORES CRNA
2204 IRONWOOD PL STE B
COEUR D ALENE, ID 83814-2662
Phone number: 208-765-8585
Mailing Address
CHARLES A MOORES CRNA
2204 IRONWOOD PL STE B
COEUR D ALENE, ID 83814-2662
Phone number: 208-762-7487
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