# THOMAS P. MOORE, M.D., PH.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moore Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780768903
- **Authorized official:** DR. THOMAS PAUL MOORE M.D., PH.D. (PHYSICIAN)
- **Authorized official phone:** (970) 927-3344

## Contact information

- **Practice address:** 100 ELK RUN DR STE 229, BASALT, CO 81621-9244
- **Practice address phone:** (970) 927-3344
- **Practice address fax:** (970) 927-9555
- **Mailing address:** 100 ELK RUN DR STE 229, BASALT, CO 81621-9244
- **Mailing address phone:** (970) 927-3714
- **Mailing address fax:** (970) 927-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 24599 | CO | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 05/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01245992 | — | CO |
| 01 | — | 1780768903 | GROUP NPI | CO |