# REBECCA L. MOORE MD PROF CO LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386921658
- **Authorized official:** LORI A LABRECQUE (ACCOUNTS MGR)
- **Authorized official phone:** (702) 453-3799

## Contact information

- **Practice address:** 750 HOSPITAL LOOP, CRAIG, CO 81625-8750
- **Practice address phone:** (970) 824-9411
- **Mailing address:** 21852 E ONTARIO DR, \#1427, AURORA, CO 80016-6048
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 29536 | CO | Yes |

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 01/26/2012