SearchIllinois367500000X

Randall Moore, CRNA

NPI 1679562532 · on the registry since 2005

Practice

Address
800 East Carpenter Street
Room 2k64
Springfield, IL 62769
Phone
(217) 525-5643
Fax
(217) 544-2521
Organisation at this address
Lifenet, Inc.
Lifenet, Inc.
Infinity-Meds Llp
Cepamerica Illinois Llp
Associated Pathologists Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
286

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois