NPI 1265672141

Regina Lynne Moore, RPARA

Practitioner Radiology Practitioner Assistant Doniphan, MO

Practice location

Address: Rr 3 Box 4244, Doniphan, MO 63935-8473
Phone: (573) 996-2669
Fax: (573) 996-2669
Mailing address: PO Box 504, Doniphan, MO 63935-0504

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 06MO1254 (MO)

Other Radiology Practitioner Assistant providers in Missouri →

Registry record

NPI: 1265672141
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2009
Record last updated: 5 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.