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Chad Gary Moody, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Elkhart, IN

NPI
1699233676
Type
Individual (Type 1)
Primary specialty
Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
367500000X
License number
125899 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2019-03-08
Last updated
2019-03-08
Practice location
600 East Blvd
Elkhart, IN 46514-2483
(801) 462-5485

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